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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LEONARD SIMON FAGAN, M.D.

Active

DR. LEONARD SIMON FAGAN, M.D. is a Obstetrics & Gynecology healthcare provider located in KENOSHA, Wisconsin. NPI 1104812171 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · KENOSHA, WI

Registration Details

NPI Number
1104812171
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2005 (20.864271119042 yrs)
Last Updated
Oct 3, 2022
Licenses
46372-020 (WI)
46372 (WI)
ME157114 (FL)

Practice Information

Address
10222 74TH STREET
SUITE 200
KENOSHA, WI, 531426800
Browse WI providers · Browse ZIP 53142
Phone
2626979200
Fax
2626979206
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in KENOSHA, WI

Name Credential NPI
DR. BARBARA S ROBINSON M.D. 1336135300
SHAHID ALI ATCHA MD 1144276551
ELEANOR JANE FIGUERRES DO 1215983622
DR. CRYSTAL D RUFFIN MD 1285668525
DR. JUNITH M THOMPSON MD 1558413161
DR. TIMOTHY JOSEPH ZELKO D.O. 1154443174
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.