MS. Tiffany L Fontaine, PA-C
NPI #1639309057 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1639309057
- Entity Type
- Individual
- Name
- MS. Tiffany L Fontaine, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 20, 2009
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 1185 CORPORATE CENTER DR STE 300
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4887
- Phone
- (414) 771-6780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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