Individual
MR. MICHAEL JAMES GOGOLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-5400
(218) 786-5435
Mailing address
2630 W 15TH ST, DULUTH, MN 55806-1124
(218) 310-4778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1677
MN
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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