NPI 1982848412 · live from the CMS NPI Registry
Michael Brogan
Psychiatry & Neurology, Neurology in St. Paul, MN. National Provider Identifier 1982848412, active.
NPI record
| NPI | 1982848412 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 640 Jackson Street, Mc 41104c, St. Paul, MN 55101 |
| Practice phone | 651-254-7900 |
| Mailing address | Po Box 1309, 8170 33rd Ave S - Ms 21110q, Minneapolis, MN 55425 |
| Enumerated | April 28, 2009 |
| Last updated | June 12, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 59088 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.