Individual
AUGUSTIN DOUGLAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 375-3700
(262) 376-6032
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81446-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100278744
—
WI
Enumeration date
03/22/2022
Last updated
08/22/2025
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