Individual
PATRICK T REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 N TAYLOR DRIVE, COLUMBIA ST MARY'S SHEYBOYGAN OUTPATIENT CENTER, SHEBOYGAN, WI 53081-3090
(262) 243-2500
(262) 243-5395
Mailing address
4425 N PORT WASHINGTON RD, CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 326-2218
(414) 326-2208
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20082
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518904762
—
WI
Enumeration date
05/31/2006
Last updated
05/21/2014
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