Individual
MATTHEW SCOTT BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
516 DELAWARE ST SE, CLINIC 1D, MINNEAPOLIS, MN 55455-0356
(612) 624-1500
Mailing address
720 WASHINGTON AVE SE, # 300, MINNEAPOLIS, MN 55414-2924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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