Provider Demographics
NPI:1528006418
Name:ROGIN, JOANNE BELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:BELLE
Last Name:ROGIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4225 GOLDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4215
Mailing Address - Country:US
Mailing Address - Phone:763-588-0661
Mailing Address - Fax:763-287-2310
Practice Address - Street 1:4225 GOLDEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4215
Practice Address - Country:US
Practice Address - Phone:763-588-0661
Practice Address - Fax:763-287-2310
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN250782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN130004156OtherRAILROAD MEDICARE
MN1528006418Medicaid
MNHP14271OtherHEALTHPARTNERS
MN0265014OtherPREFERRED ONE
MN14865ROOtherBCBS OF MN
WI30478400Medicaid
MN22791OtherAMERICA'S PPO
MN0503027OtherMEDICA
MN100298C029OtherUCARE