Michael Todd Fontenot, MD - Baton Rouge, LA

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.

Location: 8595 Picardy Ave, Baton Rouge, LA, 70809-3731

NPI Number

1982603254

Provider Name

Michael Todd Fontenot

Credential

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

Identifier	Type	State	Issuer
2162900	05	LA
4Q548DH48	01	LA	MEDICARE PTAN

Address

8595 Picardy Ave

City

Baton Rouge

State

Louisiana

Zip

70809-3670

Phone Number

225-763-4438

Fax Number

225-763-4490

Address

8595 Picardy Ave

City

Baton Rouge

State

Louisiana

Zip

70809-3670

Phone Number

225-763-4438

Fax Number

225-763-4490

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

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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