Individual
JULIE R FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
57 CHEQUAMEGON BAY, MADISON, WI 53719
(608) 276-8680
Mailing address
57 CHEQUAMEGON BAY, MADISON, WI 53719-3028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24673
WI
Other
Enumeration date
03/01/2006
Last updated
07/20/2018
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