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Individual

DR. CHRISTINE-MARIE L. FONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 358-4000
Mailing address
PO BOX 27035, WEST DES MOINES, IA 50265-9415
(515) 333-1879

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
38472-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32401800
WI
Enumeration date
09/15/2006
Last updated
04/28/2009
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