NPI 1033593025

Taylor Fontaine, PAC

Practitioner Physician Assistant Fargo, ND

Practice location

Address: 1800 21st Ave S, Fargo, ND 58103-5759
Phone: (701) 365-8700
Fax: (701) 365-8701

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0603 (ND)

Other Physician Assistant providers in North Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11875 (MN)

Registry record

NPI: 1033593025
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2015
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.