Individual
DR. MICHAEL DALE BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1576
(614) 754-5500
(614) 457-4519
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1576
(614) 754-5500
(614) 457-4519
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-046098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0633863
—
OH
Enumeration date
08/29/2005
Last updated
11/07/2023
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