Healthcare Provider Details

I. General information

NPI: 1326027533
Provider Name (Legal Business Name): DAVID L HOGANSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 E COLLEGE DR
MARSHALL MN
56258
US

IV. Provider business mailing address

1307 E COLLEGE DR
MARSHALL MN
56258
US

V. Phone/Fax

Practice location:
  • Phone: 507-537-0307
  • Fax:
Mailing address:
  • Phone: 507-537-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMN002998
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMN2998
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: