Individual
ROBERT J AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1650
(574) 647-1655
Mailing address
1428 FOREST DR, PORTAGE, MI 49002-6320
(269) 873-8955
(269) 324-2476
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
01053969A
IN
207VM0101X
Maternal & Fetal Medicine Physician
20122
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301033245
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI
MI
01
—
1604114351
BCBS
MI
05
—
4656419
—
MI
05
—
6062403
—
MI
Enumeration date
04/07/2006
Last updated
07/06/2022
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