Individual
DR. FREDRICK C AUSTERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6217 S PACKARD AVE, CUDAHY, WI 53110-3096
(414) 764-5550
(414) 764-8175
Mailing address
6217 S PACKARD AVE, CUDAHY, WI 53110-3096
(414) 764-5550
(414) 764-8175
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5000496
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33535800
—
WI
Enumeration date
02/14/2006
Last updated
12/06/2011
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