Search › Wisconsin › 208M00000X
Robert Fasano, MD
NPI 1770666471 · on the registry since 2006
Practice
- Address
- N2950 State Road 67
Lake Geneva, WI 53147 - Phone
- (262) 245-0535
- Fax
- (262) 245-2248
- Organisation at this address
- Mercy Health System Corporation
Mercy Health System Corporation
Mercy Health System CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207R00000X
207R00000X - Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin