Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tiffany L Fontaine, PA-C

Individual provider Physician Assistant · NPI 1639309057

MS. Tiffany L Fontaine, PA-C is a Physician Assistant in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1185 Corporate Center Dr Ste 300
Oconomowoc, WI 53066-4887
Phone: (414) 771-6780
Fax: (414) 238-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2443-023 (WI)

Record details

NPI number1639309057
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 20, 2009
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

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