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Individual

SHARI FAYE HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
(612) 626-6100
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455
(612) 625-1400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10041
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-06279
MEDICA PRIMARY
MN
01
01-22463
MEDICA CHOICE
MN
01
1045685
PREFERRED ONE
MN
01
135524
UCARE
MN
01
2407142
ARAZ
MN
05
42878100
WI
05
4306678
MT
01
695T0HO
BCBS
MN
01
HP58155
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
07/09/2007
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