Provider Demographics
NPI:1831166867
Name:MCGRAIL, MICHAEL P JR (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:MCGRAIL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7801 E BUSH LAKE RD
Mailing Address - Street 2:STE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3113
Mailing Address - Country:US
Mailing Address - Phone:952-479-4261
Mailing Address - Fax:866-691-8423
Practice Address - Street 1:640 JACKSON STREET
Practice Address - Street 2:MC 11503N
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-3313
Practice Address - Fax:651-254-3874
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2022-03-18
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Provider Licenses
StateLicense IDTaxonomies
MN37035208100000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN239215100Medicaid
F73537Medicare UPIN
MN250000450Medicare ID - Type Unspecified