Individual
DR. JOHN J FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE FL 2, SAN FRANCISCO, CA 94143-2202
(415) 476-9362
Mailing address
9200 W WISCONSIN AVE, FROEDTERT & MED COLLEGE CLIN - EAST, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
48629
WI
207RI0200X
Infectious Disease Physician
Primary
C206757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31446100
—
WI
Enumeration date
05/15/2006
Last updated
03/30/2026
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