Individual
DR. GERALD F EAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2300 N MAYFAIR RD, SUITE 920, WAUWATOSA, WI 53226-1505
(414) 257-1230
(414) 257-3208
Mailing address
2300 N MAYFAIR RD, SUITE 920, WAUWATOSA, WI 53226-1505
(414) 257-1230
(414) 257-3208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001135
WI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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