Individual
MR. MICHAEL A FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF CARDIOTHORACIC SURGERY, WORCESTER, MA 01655-0002
(508) 334-7828
(508) 334-7284
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1512
MA
Other
Enumeration date
06/08/2007
Last updated
04/13/2011
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