Individual
DR. JAMES FONTANESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27900 GRAND RIVER AVE, SUITE 220, FARMINGTON HILLS, MI 48336-5939
(248) 477-0552
(248) 477-0742
Mailing address
27900 GRAND RIVER AVE, SUITE 220, FARMINGTON HILLS, MI 48336-5939
(248) 477-0552
(248) 477-0742
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
430118443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316918519
—
MI
01
—
700H273300
BLUE SHIELD
MI
Enumeration date
01/27/2006
Last updated
05/24/2013
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