Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Grogan, MD, JD

Individual provider Diagnostic Radiology Physician · NPI 1518015627

Michael J Grogan, MD, JD is a Diagnostic Radiology in Green Bay, Wisconsin. Graduated from Medical College of Wisconsin in 2006, 20 years ago. Practices with Radiology Chartered, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
20
Trained at
Medical College of Wisconsin
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1789 Shawano Ave
Green Bay, WI 54303-3243
Phone: (920) 499-1428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 — (651) 292-0000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 55295 (MN)

Record details

NPI number1518015627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , JD
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2006 (20 years in practice)
Group practice Radiology Chartered — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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