Fontaine, Tiffany L

Fontaine, Tiffany L is an individual health care provider with primary practice located at 1185 Corporate Center Dr Ste 300 , Oconomowoc WI 53066-4887. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fontaine, Tiffany L can be contacted via phone (414) 771-6780.

Contact Information

Primary practice address
1185 Corporate Center Dr Ste 300 Oconomowoc WI 53066-4887
Phone: (414) 771-6780
Fax: (414) 238-2424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2443-023 Wisconsin

Profile Details

NPI number 1639309057
LBN Legal business name Fontaine, Tiffany L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Apr 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers