Individual
DR. PATRICK T FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21700 INTERTECH DR, BROOKFIELD, WI 53045-5197
(262) 532-8300
(262) 532-8600
Mailing address
21700 INTERTECH DR, BROOKFIELD, WI 53045-5197
(262) 532-8300
(262) 532-8600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48412
WI
208000000X
Pediatrics Physician
48412
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34676400
—
WI
Enumeration date
02/06/2006
Last updated
04/10/2019
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