Individual
AUSTIN ALAN POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 LEAHY ST STE 201, MUSKEGON, MI 49442-5542
(231) 672-8289
Mailing address
1675 LEAHY ST STE 201, MUSKEGON, MI 49442-5542
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9126988-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2022
Last updated
09/08/2025
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