location
search-icon
person
Dr. Leonard Simon Fagan, MD
Obstetrics & Gynecology Physician in Kenosha, Wisconsin
NPI 1104812171

Leonard Simon Fagan is a Obstetrics & Gynecology Physician based in Milwaukee, WI. Leonard Simon Fagan practices in Kenosha, WI and has the professional credentials of MD. The NPI Number for Leonard Simon Fagan is 1104812171 and holds a License No. 46372-020 (Wisconsin).

The current practice location address for Leonard Simon Fagan is 10222 74Th Street, Kenosha, WI and can be reached out via phone at 262-697-9200 and via fax at 262-697-9206.

Location: 10222 74Th Street, Kenosha, WI, 53215-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104812171
Provider Name
Leonard Simon Fagan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10222 74Th Street, Kenosha, WI, 53215-2843
Phone Number
262-697-9200
Fax Number
262-697-9206
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
34485700 05 WI
institution
Provider Business Practice Location Address Details
Address
10222 74Th Street
City
Kenosha
State
Wisconsin
Zip
53142-6800
Phone Number
262-697-9200
Fax Number
262-697-9206
person
Provider Business Mailing Address Details
Address
10222 74Th Street
City
Kenosha
State
Wisconsin
Zip
53142-6800
Phone Number
262-697-9200
Fax Number
262-697-9206
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
46372 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
46372-020 (Wisconsin)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.