Individual
PATRICK D. FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(414) 313-3549
Mailing address
250 E WARD ST APT 421, MILWAUKEE, WI 53207-1373
(716) 713-2096
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22667-875
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659768182
—
WI
Enumeration date
04/22/2015
Last updated
11/30/2022
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