Individual
JON K. WOGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
17424
MN
Other
Enumeration date
03/03/2006
Last updated
05/15/2008
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