Individual
JUAN T BIAGTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19475 WEST NORTH AVENUE, SUITE 308, BROOKFIELD, WI 53045
(262) 780-4358
(262) 780-4002
Mailing address
4555 WEST SCHROEDER DRIVE, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30404900
—
WI
Enumeration date
08/09/2006
Last updated
09/03/2010
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