Individual
EVGUENI FAYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF CARDIOVASCULAR DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, DIVISION OF CARDIOVASCULAR DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
53690
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
53690
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336181072
—
WI
Enumeration date
06/10/2006
Last updated
01/30/2024
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