Michael Todd Fontenot, M.D.
Specialist in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1982603254
StatusActive
Last updated in NPPESSep 23, 2014
Details
- NPI
- 1982603254
- Entity type
- Individual (NPI-1)
- Name
- Michael Todd Fontenot
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Sep 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ME0088212 | FL | Yes |
Practice location
8595 Picardy AveSte 305
Baton Rouge, LA 70809-3670
Phone 225-763-4438 · Fax 225-763-4490
Mailing address
8490 Picardy AveBldg 200
Baton Rouge, LA 70809-3731
Phone 225-237-1754 · Fax 225-237-1722
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