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1548854755
NATHANIEL D FAGAN
MILWAUKEE, WI
NPI
1548854755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 10958-33)
Enumeration Date
2021-02-28
Last Update Date
2021-09-15
Business Address
Mr. NATHANIEL D FAGAN MSN, APNP, FNP-C
7733 W BURLEIGH ST
MILWAUKEE, WI 53222-5003
Phone number: 414-837-6300
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Mailing Address
Mr. NATHANIEL D FAGAN MSN, APNP, FNP-C
7733 W BURLEIGH ST
MILWAUKEE, WI 53222-5003
Phone number: 414-837-6300
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