Provider Demographics
NPI:1346888732
Name:VOGLER-BOS, DANIELLE LEE ANN (NMD)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LEE ANN
Last Name:VOGLER-BOS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:LEE ANN
Other - Last Name:VOGLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NMD
Mailing Address - Street 1:575 SE 9TH ST
Mailing Address - Street 2:SUITE #52
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414
Mailing Address - Country:US
Mailing Address - Phone:952-222-7670
Mailing Address - Fax:
Practice Address - Street 1:575 SE 9TH ST
Practice Address - Street 2:SUITE #52
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414
Practice Address - Country:US
Practice Address - Phone:952-222-7670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-16
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19-1823175F00000X
MN1112175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath