Individual
CHRISTOPHER NIC MOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-9020
(952) 758-8156
Mailing address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-9020
(952) 758-8156
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
47997
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796156100
—
MN
Enumeration date
07/11/2006
Last updated
08/17/2021
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