Individual
DR. RODRIGUE FONTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N 1ST ST STE D327, SPRINGFIELD, IL 62702-3757
(217) 545-8856
(217) 545-7762
Mailing address
311 E SPRUCE ST STE 3B, GARDEN CITY, KS 67846-5685
(620) 275-3740
(620) 275-3761
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-46768
KS
208600000X
Surgery Physician
MT211330
PA
208C00000X
Colon & Rectal Surgery Physician
125.077903
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
04/24/2023
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