Individual
WILLIAM LEO FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
200201075
NC
207N00000X
Dermatology Physician
ME100630
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2019-00293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280314300
—
FL
05
—
5904546
—
NC
Enumeration date
08/16/2006
Last updated
04/30/2026
Update your record
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