Individual
MRS. TANYA CHRISTINA VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 E. DAY ROAD, SUITE 360, MISHAWAKA, IN 46545
(574) 313-2933
(574) 313-8690
Mailing address
51769 WESTPORT CT, GRANGER, IN 46530-8222
(509) 393-0792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003041A
IN
Other
Enumeration date
12/18/2020
Last updated
03/07/2025
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