Organization
JOSEPH P REGAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P REGAN MD (MD)
(414) 963-9415
Entity
Organization
Contact information
Practice address
2015 E NEWPORT AVE, SUITE305, MILWAUKEE, WI 53211-2984
(414) 963-9415
(414) 961-0335
Mailing address
2015 E NEWPORT AVE, SUITE305, MILWAUKEE, WI 53211-2984
(414) 963-9415
(414) 961-0335
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45445
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34370200
—
WI
Enumeration date
07/10/2007
Last updated
07/10/2007
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