Individual provider · Type 1 NPI
Leonard Simon Fagan, MD
Obstetrics & Gynecology Physician · Kenosha, WI
Practice location
10222 74th Street, Suite 200
Kenosha, WI 53142-6800
Fax (262) 697-9206
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 46372-020 (WI) |
| Obstetrics & Gynecology Physician | 207V00000X | 46372 (WI) |
| Obstetrics & Gynecology Physician Primary | 207V00000X | ME157114 (FL) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2 other providers at this address
Other obstetrics & gynecology physician providers in Kenosha
- Timothy Joseph Zelko, DOObstetrics & Gynecology Physician Kenosha, WI NPI 1154443174
- Eleanor Jane Figuerres, DOObstetrics & Gynecology Physician Kenosha, WI NPI 1215983622
- Crystal D. Ruffin, MDObstetrics & Gynecology Physician Kenosha, WI NPI 1285668525
- Barbara S. Robinson, MDObstetrics & Gynecology Physician Kenosha, WI NPI 1336135300
- Diana M. Saitis, MDObstetrics & Gynecology Physician Kenosha, WI NPI 1417177783
- Kristin Jones, D.OObstetrics & Gynecology Physician Kenosha, WI NPI 1497065080
- Junith M. Thompson, MDObstetrics & Gynecology Physician Kenosha, WI NPI 1558413161
- Maximilian W. Hecht, MD, MPHObstetrics & Gynecology Physician Kenosha, WI NPI 1700056744
About NPI 1104812171
Leonard Simon Fagan, MD's National Provider Identifier is 1104812171, issued on Sep 23, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 3, 2022.