Anne M Fagan MD

NPI 1013070614 - Anesthesiology - 207L00000X

NPI Details
NPI 1013070614
Gender Female
Enumeration Date 12/18/2006
Last Updated 08/27/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
10200 W INNOVATION DR
MILWAUKEE WI, 53226-4825, US
Phone (414) 302-9196
Fax
Business Location
4555 W SCHROEDER DR
SUITE #170
MILWAUKEE WI, 53223-1475, US
Phone (414) 365-3210
Fax (414) 365-3225
Toxanomy
Taxonomy Code 207L00000X
License State Wisconsin
License Number 18323
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According to our database, Anne M Fagan MD NPI is 1013070614, taxonomy code is 207L00000X and license number is 18323, license state is located at Wisconsin. Anne M Fagan MD physically located at 10200 W Innovation Dr, Milwaukee WI, 53226-4825. NPI Number Anne M Fagan MD has the Individual type.

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1013070614 NPI number is provided on an as is basis without warranty of any kind. 1013070614 is maintained by the National Plan & Provider Enumeration System. The contents of Anne M Fagan MD are for informational purposes only.