Michael John Grogan Diagnostic Radiology
250 Thompson St, Saint Paul, MN 55102-2370


Michael John Grogan is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1518015627. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6608044334. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is ST. PAUL RADIOLOGY OUTPATIENT IMAGING, LLC. The address is 250 Thompson St, Saint Paul, MN 55102-2370. The zip code is 55102.


Michael John Grogan · 250 Thompson St, Saint Paul, MN 55102-2370

Nation Provider ID 1518015627
PAC ID by PECOS 6608044334
Professional Enrollment ID I20120723000798
Last Name GROGAN
First Name MICHAEL
Middle Name JOHN
Gender M
Medical School Name MEDICAL COLLEGE OF WISCONSIN
Graduation Year 2006
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty ST. PAUL RADIOLOGY OUTPATIENT IMAGING, LLC
Phone Number 6512922000
Group Practice PAC ID 3870495591
Number of Group Practice Members 69
Address 250 THOMPSON ST
SAINT PAUL, MN 551022370
Claims Based Hospital Affiliation