Individual
DOUGLAS JAMES AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
695 KENMOOR AVE SE # B, GRAND RAPIDS, MI 49546-2375
(616) 956-0636
Mailing address
1928 LETART AVE, MUSKEGON, MI 49441-1453
(616) 260-3170
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704277657
MI
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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