DAVID FOUNTAIN

Contractor

Active Individual
NPI: 1942820428

Practice Address

726 CREEDWOOD LANE
West Bend, WI 53095

Phone: (262) 388-6191

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 061900578 (WI)

Frequently Asked Questions

NPI 1942820428 is the National Provider Identifier for DAVID FOUNTAIN, a Contractor provider located in West Bend, WI. This NPI was enumerated on April 24, 2020.
DAVID FOUNTAIN practices at 726 CREEDWOOD LANE, West Bend, WI 53095.

Quick Facts

NPI
1942820428
Type
Individual
Enumerated
Apr 24, 2020
Last Updated
Apr 24, 2020

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