Patricia Lynn Fontaine M.D.

NPI 1073543518 - Family Medicine - 207Q00000X

NPI Details
NPI 1073543518
Gender Female
Enumeration Date 07/03/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1020 W BROADWAY AVE
UMPHYSICIANS BROADWAY FAMILY MEDICINE
MINNEAPOLIS MN, 55411-2504, US
Phone (612) 302-8200
Fax (612) 302-8275
Business Location
1020 W BROADWAY AVE
UMPHYSICIANS BROADWAY FAMILY MEDICINE
MINNEAPOLIS MN, 55411-2504, US
Phone (612) 302-8200
Fax (612) 302-8275
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 24058
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According to our database, Dr. Patricia Lynn Fontaine M.D. NPI is 1073543518, taxonomy code is 207Q00000X and license number is 24058, license state is located at Minnesota. Patricia Lynn Fontaine M.D. physically located at 1020 W Broadway Ave, Minneapolis MN, 55411-2504. NPI Number Patricia Lynn Fontaine M.D. has the Individual type.

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1073543518 NPI number is provided on an as is basis without warranty of any kind. 1073543518 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Lynn Fontaine M.D. are for informational purposes only.