Organization
DONALD C AUSTIN MD PC
Active
Organization
DONALD C AUSTIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C AUSTIN MD (PRESIDENT)
(586) 954-4677
Entity
Organization
Contact information
Practice address
96 NORTHBOUND GRATIOT AVE, SUITE 102, MOUNT CLEMENS, MI 48043-2349
(586) 954-4677
(586) 954-4678
Mailing address
96 NORTHBOUND GRATIOT AVE, SUITE 102, MOUNT CLEMENS, MI 48043-2349
(586) 954-4677
(586) 954-4678
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100141
GREAT LAKES HEALTH PLAN
MI
05
—
1039073
—
MI
01
—
1405021311
BLUE CROSS BLUE SHIELD
MI
01
—
21741
OMNICARE
MI
Enumeration date
01/10/2008
Last updated
04/20/2008
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