Ogren, Diane S

Ogren, Diane S is an individual health care provider with primary practice located at 310 Smith Ave N , Saint Paul MN 55102-2393. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ogren, Diane S can be contacted via phone (952) 843-4333.

Contact Information

Primary practice address
310 Smith Ave N Saint Paul MN 55102-2393
Fax: (952) 843-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38040 Minnesota

Profile Details

NPI number 1073588653
LBN Legal business name Ogren, Diane S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073588653 NPPES
Minnesota MEDICAID 366718900

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