Individual
DAVID MAKONDE OGATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5325 W 74TH ST, EDINA, MN 55439-2231
(612) 271-1181
(651) 571-0018
Mailing address
1359 KNOLL DR, SHAKOPEE, MN 55379-4624
(651) 354-6602
(952) 835-3895
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 4260
MN
Other
Enumeration date
03/02/2016
Last updated
11/20/2019
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