Individual
DR. RENEE ROLANDE FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-5437
(207) 764-4760
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-5437
(207) 764-4760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1571
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326067265
—
ME
Enumeration date
07/19/2006
Last updated
11/13/2012
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