Susan Marie Fontaine in Warren - Physician Assistant
Susan Marie Fontaine - NPI 1700970530
Susan Marie Fontaine is a Physician Assistant in Warren, Michigan. Susan Marie Fontaine practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susan Marie Fontaine is 1700970530. The last update date is 2023-09-06.
Susan Marie Fontaine's current location address is 32524 Holden Dr, Warren, Michigan. You can contact this provider via phone number 5862648669. The mailing address for Susan Marie Fontaine is 32524 Holden Dr, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Fontaine |
|---|---|
| Address | 32524 Holden Dr, Warren, Michigan |
| Phone Number | 5862648669 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1700970530 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 32524 Holden Dr |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480923178 |
| Phone Number | 5862648669 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1577120 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Susan Marie Fontaine by the Centers for Medicare & Medicaid Services?
The Susan Marie Fontaine has been issued the NPI (National Provider Identifier) 1700970530 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan Marie Fontaine is located?
The Susan Marie Fontaine is situated at the following address: 32524 Holden Dr, Warren, MI, 480923178.
On what date did Susan Marie Fontaine receive its 1700970530 assignment from the Centers for Medicare & Medicaid Services?
The Susan Marie Fontaine was assigned its 1700970530 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1700970530 to Susan Marie Fontaine?
The Centers for Medicare & Medicaid Services assigned the 1700970530 to Susan Marie Fontaine on 2006-10-03.
As of what date was the information regarding Susan Marie Fontaine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Marie Fontaine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-06.