Individual
MICHAEL HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3601 MINNESOTA DR, SUITE 600, EDINA, MN 55435-5281
(952) 851-8200
Mailing address
1115 LAUREL AVE, SAINT PAUL, MN 55104-6922
(651) 278-5377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1941
MN
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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