Individual
DONNA RAE FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH. D.
Contact information
Practice address
7600 FRANCE AVE S STE 5100, EDINA, MN 55435
(952) 893-1959
(952) 893-1954
Mailing address
7600 FRANCE AVE S STE 5100, EDINA, MN 55435-5924
(952) 893-1959
(952) 893-1954
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
43392
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143431C477
UCARE
MN
01
—
1889892
AMERICA'S PPO
MN
01
—
3200112
MEDICA
MN
01
—
411774839A002
CHAMPUS
MN
01
—
513G0FO
BLUE CROSS BLUE SHIELD
FM
05
—
776134100
—
MN
01
—
960081034766
PREFERRED ONE
MN
01
—
HP39095
HEALTHPARTNERS
MN
01
—
P00028980
RR MEDICARE
MN
Enumeration date
06/09/2005
Last updated
07/12/2018
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