Individual
DR. MADELAINE FAHRMANN FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1122 S BERNARD RD, SUITE B, BROUSSARD, LA 70518
(337) 289-8933
Mailing address
PO BOX 53092, LAFAYETTE, LA 70505-3092
(337) 289-8933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328881
LA
Other
Enumeration date
03/21/2018
Last updated
11/08/2021
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