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Individual

SCOTT A FONTAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1222
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R26525
ND

Other

Enumeration date
12/11/2006
Last updated
12/10/2024
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