Search › Wisconsin › 207V00000X
Leonard Fagan, M.D
NPI 1104812171 · on the registry since 2005
Practice
- Address
- 10222 74th Street
Suite 200
Kenosha, WI 53142 - Phone
- (262) 697-9200
- Fax
- (262) 697-9206
- Organisation at this address
- Sports Physical Therapists, Llc
Midwest Center For Women'S Health
Midwest Center For Womens Health S.C.
Advantage Physical Therapy & Sports Rehab, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 174400000X
207V00000X - Licence states on file
- WI, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin