Individual
TRENT J AUGUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.071722
IL
207Q00000X
Family Medicine Physician
Primary
74441-20
WI
Other
Enumeration date
04/27/2018
Last updated
07/07/2021
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