Taylor Fontaine PA-C
Physician Assistant in Fargo, ND(View on Map)
Full Name
Taylor Fontaine PA-C
NPI Number
1033593025
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/20/2015
Specialties
(Taxonomies)Licenses
State
Minnesota
North Dakota
License Number
11875
PAC0603
Contact
Information
Purpose
Mailing
Location
Address
1800 21ST AVE S
1800 21ST AVE S
City
Fargo
Fargo
State
ND
ND
Postal Code
58103-5759
58103-5759
Country
US
US
Telephone Number
(701) 365-8700
(701) 365-8700
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/17/2018