NPI 1639116486

Joseph P Regan, MD

Practitioner Surgery Physician Mequon, WI

Practice location

Address: 13133 N. Port Washington Road Suite 224, Mequon, WI 53097-2420
Phone: (262) 240-0070
Fax: (262) 243-0072
Mailing address: 788 N Jefferson St Suite 300/Attn. Kaaren Butzen, Milwaukee, WI 53202-3718

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 45445 (WI)

Other Surgery providers in Wisconsin →

Registry record

NPI: 1639116486
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2006
Record last updated: 9 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.