Search › Wisconsin › 171W00000X
David Fountain
NPI 1942820428 · on the registry since 2020 · sole proprietor
Practice
- Address
- 726 Creedwood Lane
West Bend, WI 53095 - Phone
- (262) 388-6191
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin