Individual
MARK W VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S NEW BALLAS RD, SUITE 2030, SAINT LOUIS, MO 63141-8253
(314) 251-1700
Mailing address
625 S NEW BALLAS RD, SUITE 2030, SAINT LOUIS, MO 63141-8253
(314) 251-1700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53224
MN
207RC0000X
Cardiovascular Disease Physician
Primary
2012011193
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/07/2009
Last updated
07/07/2015
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