Individual
MICHAEL D MCGONIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8362 TAMARACK VILLAGE, STE 119-280, ST. PAUL, MN 55125-3392
(651) 334-9745
(888) 978-4792
Mailing address
8362 TAMARACK VILLAGE, STE 119-280, ST. PAUL, MN 55125-3392
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36628
MN
Other
Enumeration date
02/27/2006
Last updated
10/24/2023
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