Individual provider · Type 1 NPI

Michael Todd Fontenot, MD

Specialist · Baton Rouge, LA

NPI number 1982603254 Active

Practice location

8595 Picardy Ave, Ste 305
Baton Rouge, LA 70809-3670

Fax (225) 763-4490

Mailing address

8490 Picardy Ave, Bldg 200
Baton Rouge, LA 70809-3731

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0088212 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982603254

Michael Todd Fontenot, MD's National Provider Identifier is 1982603254, issued on Jul 19, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Baton Rouge, LA. The record was last updated on Sep 23, 2014.