Individual
DR. JEFFREY WAYNE SKOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
44609
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10481
—
ND
05
—
1891802278
—
MN
Enumeration date
08/23/2006
Last updated
12/14/2016
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