| NPI | 1285711614 |
|---|---|
| Doing Business As | PROMEDICA CLINIC, PC / MAX FONER, MD, PC |
| Entity Type | Organization |
| Authorized Contact | MAX FONER President, Medical Director 901-526-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-03-27 |