Individual
FERMIN MIGUEL FONTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 S TRIVIZ DR STE G, LAS CRUCES, NM 88001-0601
(443) 857-1115
Mailing address
2100 S TRIVIZ DR STE G, LAS CRUCES, NM 88001-0601
(443) 857-1115
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2020-0043
NM
Other
Enumeration date
03/19/2013
Last updated
03/11/2020
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