MRS. SUSAN MARIE FONTAINE PA C
NPI 1700970530
Physician Assistant in Detroit, MI

Q: What is Susan Fontaine's NPI number?

The NPI number for Susan Fontaine is 1700970530. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Susan Fontaine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Fontaine was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2006

22101 MOROSS RD, DETROIT, MI 48236(313) 343-3670 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, May 20, 2022 (2 updates tracked since 2022).

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About Mrs. Susan Marie Fontaine Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN MARIE FONTAINE PA C (NPI 1700970530) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (1577120) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1700970530

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SUSAN MARIE FONTAINECredential: PA C

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address32524 Holden DrWarren, MI 48092-3178 · (586) 264-8669

Phone(313) 343-3670

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

✔ NPI 1700970530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 1577120

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

22101 MOROSS RD, Detroit, MI 48236

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