Individual
WILLIAM PAUL FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703
(319) 235-3941
Mailing address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301100664
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100664
MI
Other
Enumeration date
05/18/2012
Last updated
10/09/2018
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