Individual
MICHAEL J GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., J.D.
Contact information
Practice address
1789 SHAWANO AVE, GREEN BAY, WI 54303-3243
(920) 499-1428
Mailing address
1789 SHAWANO AVE, GREEN BAY, WI 54303-3243
(920) 499-1428
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
55295
MN
Other
Enumeration date
01/08/2007
Last updated
05/29/2025
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