Individual provider · Type 1 NPI

Tiffany L. Fontaine, PA-C

Physician Assistant · Oconomowoc, WI

NPI number 1639309057 Active

Practice location

1185 Corporate Center Dr Ste 300
Oconomowoc, WI 53066-4887

Fax (414) 238-2424

Mailing address

10001 W Innovation Dr Ste 200
Wauwatosa, WI 53226-4851

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2443-023 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639309057

Tiffany L. Fontaine, PA-C's National Provider Identifier is 1639309057, issued on Jul 20, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oconomowoc, WI. The record was last updated on Apr 6, 2021.