Individual provider · Type 1 NPI

Susan Marie Fontaine, PA C

Physician Assistant · Detroit, MI

NPI number 1700970530 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Call (313) 343-3670 Map

Mailing address

32524 Holden Dr
Warren, MI 48092-3178

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1577120 (MI)

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 1700970530

Susan Marie Fontaine, PA C's National Provider Identifier is 1700970530, issued on Oct 3, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 6, 2023.