Individual
DR. MICHAEL P. REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
425 W GRAND AVE STE 3002, DAYTON, OH 45405-4722
(937) 723-4231
(937) 734-4170
Mailing address
PO BOX 1022, DAYTON, OH 45401-1022
(937) 221-8555
(937) 567-4170
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002164R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0530527
—
OH
01
—
4280581
MEDICARE PTAN NUMBER
OH
Enumeration date
08/18/2005
Last updated
06/15/2023
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