Department of Safety and Professional Services
Board of Medical Practice
Burr Russell Fontaine
Medical - Physician And Surgeon
License number
32383
Date granted
01/21/1989
Date expires
10/31/2014
Class
Medical - Physician And Surgeon
Status
Active
Address
W13172 State Hwy 188, Unit B, Lodi, WI 53555
doctorsminnesota.org
ID 22207744
LAST UPDATED 2026-04-07 23:14:15 UTC
LAST UPDATED 2026-04-07 23:14:15 UTC
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