Individual
DR. MATTHEW BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
61905
MN
207P00000X
Emergency Medicine Physician
Primary
67094
WI
Other
Enumeration date
06/20/2014
Last updated
03/12/2021
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