Individual
MATTHEW EDWARD MOGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 SUNRISE DR, SAINT PETER, MN 56082-5376
(507) 931-2200
Mailing address
1900 SUNRISE DR, SAINT PETER, MN 56082-5376
(507) 931-2200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0044
MN
367500000X
Certified Registered Nurse Anesthetist
R 180076-2
MN
Other
Enumeration date
02/20/2014
Last updated
02/19/2026
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