Individual
GRACE JIANG GOGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 NORTH SMITH AVE SUITE 100, UNITED MEDICAL SPECIALTIES-JOHN NASSEFF MEDICAL CENTER, ST. PAUL, MN 55102-2518
(651) 241-5000
(651) 241-7678
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33094
MN
Other
Enumeration date
05/13/2010
Last updated
03/11/2021
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