Fangman, John J
Fangman, John J is an individual health care provider with primary practice located at Froedtert & Med College Clin - East 9200 West Wisconsin Avenue, Milwaukee WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Fangman, John J can be contacted via phone (414) 805-3666.Contact Information
Primary practice address
Froedtert & Med College Clin - East 9200 West Wisconsin Avenue
Milwaukee WI 53226
Phone: (414) 805-3666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 48629 | Wisconsin |
Profile Details
| NPI number | 1881645737 |
|---|---|
| LBN Legal business name | Fangman, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Jul 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881645737 | NPPES |
| Wisconsin | MEDICAID | 31446100 |
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