Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TIFFANY L FONTAINE, PA-C
ActiveMS. TIFFANY L FONTAINE, PA-C is a Physician Assistant healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1639309057 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1639309057
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2009 (17.083826073859 yrs)
- Last Updated
- Apr 6, 2021
- License
-
2443-023 (WI)
Practice Information
- Address
-
1185 CORPORATE CENTER DR STE 300OCONOMOWOC, WI, 530664887Browse WI providers · Browse ZIP 53066
- Phone
- 4147716780
- Fax
- 4142382424
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OCONOMOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| RICK WOODWARD | PA | 1114912169 |
| THOMAS RUFFALO | PA | 1063407013 |
| CATHERINE D KEULKS-TORINUS | P.A.C. | 1114903481 |
| NANCY J MATTHEWS | P.A. | 1649256686 |
| AMBER C MAYO | P.A. | 1134105174 |
| KAREN MAURER | PA-C | 1063489755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.