Individual
JACOB COGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 FULTON ST SE FL 2, MINNEAPOLIS, MN 55455-4800
(612) 676-4200
Mailing address
420 DELAWARE STREET SE MMC 480, MINNEAPOLIS, MN 55455
(917) 817-5782
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
70880
MN
Other
Enumeration date
04/06/2016
Last updated
01/04/2024
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