Anne M Fagan
Anesthesiologist
10200 W Innovation Dr
Milwaukee
, Wisconsin 53226-4825
Anne M Fagan
Anesthesiologist
10200 W Innovation Dr
Milwaukee
, Wisconsin 53226-4825
(414) 365-3225
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Anne M Fagan
- 4555 W Schroeder Dr Suite #170
- Milwaukee, WI
- Zip : 53223-1475
- Fax : (414) 365-3225
- Phone : (414) 365-3210
Second Address
- Anne M Fagan
- 10200 W Innovation Dr
- Milwaukee, WI
- Zip : 53226-4825
- Phone : (414) 302-9196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 18323 | WI |
National Provider Identifier
| NPI | 1013070614 |
|---|---|
| Provider Name | Anne M Fagan |
| First Address | Milwaukee, WI 53223-1475 |
| Second Address | Milwaukee, WI 53226-4825 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2006 |
| Last Update Date | 27/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30893000 | (05) | WI |
| B84855 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.