Individual
DR. MICHAEL WAYNE FONTENOT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
800 W MAIN ST, NEW IBERIA, LA 70560-3536
(337) 367-2567
Mailing address
800 W MAIN ST, NEW IBERIA, LA 70560-3536
(337) 367-2567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11411
TX
111N00000X
Chiropractor
Primary
1634
LA
Other
Enumeration date
03/20/2014
Last updated
02/28/2022
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