SUSAN MARIE FONTAINE

DETROIT, MI
NPI1700970530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  1577120)
Enumeration Date2006-10-03
Last Update Date2023-09-06
Business Address
Mrs. SUSAN MARIE FONTAINE PA C
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3670
Mailing Address
Mrs. SUSAN MARIE FONTAINE PA C
32524 HOLDEN DR
WARREN, MI 48092-3178
Phone number: 586-264-8669
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