Individual
ISAAC ANTON FONKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 6TH AVE, 3-TFM, TACOMA, WA 98405-4040
(253) 792-6680
(253) 403-2915
Mailing address
1112 6TH AVE, TACOMA, WA 98405-4040
(253) 792-6680
(253) 403-2915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
101180
MT
207Q00000X
Family Medicine Physician
Primary
MD.MD.61669853
WA
Other
Enumeration date
03/30/2018
Last updated
09/04/2025
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