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Individual

DR. MICHAEL BROGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
640 JACKSON STREET, MC 41104C, ST. PAUL, MN 55101
(651) 254-7900
(651) 254-7904
Mailing address
PO BOX 1309, 8170 33RD AVE S - MS 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-7900
(651) 254-7904

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
59088
MN

Other

Enumeration date
04/28/2009
Last updated
06/12/2015
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