person
Michael Todd Fontenot, MD
Specialist in Baton Rouge, Louisiana
NPI 1982603254

Michael Todd Fontenot is a Specialist based in Baton Rouge, LA. Michael Todd Fontenot practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Michael Todd Fontenot is 1982603254 and holds a License No. ME0088212 (Louisiana).

The current practice location address for Michael Todd Fontenot is 8595 Picardy Ave, Baton Rouge, LA and can be reached out via phone at 225-763-4438 and via fax at 225-763-4490. You can also correspond with Michael Todd Fontenot through the mailing address at 8490 PICARDY AVE, BATON ROUGE, LA - 70809-3731 (mailing address contact number: 225-237-1754).

Location: 8595 Picardy Ave, Baton Rouge, LA, 70809-3731
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Provider Profile Details
NPI Number
1982603254
Provider Name
Michael Todd Fontenot
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8595 Picardy Ave, Baton Rouge, LA, 70809-3731
Phone Number
225-763-4438
Fax Number
225-763-4490
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2162900 05 LA
4Q548DH48 01 LA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
8595 Picardy Ave
City
State
Zip
70809-3670
Phone Number
225-763-4438
Fax Number
225-763-4490
person
Provider Business Mailing Address Details
Address
8595 Picardy Ave
City
State
Zip
70809-3670
Phone Number
225-763-4438
Fax Number
225-763-4490
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME0088212 (Florida)
Definition
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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