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Individual

DR. W. PATRICK FLANAGAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 DELAFIELD ST, SUITE 12, WAUKESHA, WI 53188-3417
(262) 542-9707
(262) 542-9708
Mailing address
1111 DELAFIELD ST, SUITE 12, WAUKESHA, WI 53188-3417
(262) 542-9707
(262) 542-9708

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29199
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004094202
AETNA
WI
01
1309880001
DMERC/ADMINISTAR FEDERAL
WI
01
180481
MULTIPLAN NETWORK
WI
01
1900025
UNITEDHEALTH CARE
WI
05
31395600
WI
Enumeration date
07/26/2005
Last updated
07/08/2007
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