Individual
DANA FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 837-2647
(989) 837-6625
Mailing address
1549 WASHINGTON ST, MIDLAND, MI 48640-5685
(989) 837-2647
(989) 837-6625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009851
MI
Other
Enumeration date
06/01/2006
Last updated
04/21/2014
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