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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SUSAN MARIE FONTAINE, PA C

Active

MRS. SUSAN MARIE FONTAINE, PA C is a Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1700970530 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DETROIT, MI

Registration Details

NPI Number
1700970530
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2006 (19.838908063939 yrs)
Last Updated
Sep 6, 2023
License
1577120 (MI)

Practice Information

Address
22101 MOROSS RD
DETROIT, MI, 482362148
Browse MI providers · Browse ZIP 48236
Phone
3133433670
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DETROIT, MI

Name Credential NPI
JENNY L GRUNWALD P.A.-C 1124013016
KAREN L BRONSON PA-C 1295722270
MRS. SUSAN LYNN SIEPIERSKI PA 1609857952
AMY DERECZYK PA-C 1558349050
JULIA SWITZER PA 1528046505
CAROLE VANDYKE P.A. 1114997228
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.