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NPI Code Detail

MEDICARE: MICHAEL VOGT RPH

MEDICARE: MICHAEL VOGT RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18172-40WI

General Provider Information

NPI Number : 1285088922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL VOGT RPH
Provider Business Mailing Address
First Line : 1123 N VAN BUREN ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3269
Country : US
Telephone Number : 414-347-9219
Fax Number :
Provider Business Practice Location Address
First Line : 1123 N VAN BUREN ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3269
Country : US
Telephone Number : 414-347-9219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 04/19/2016

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