Individual
JENNIFER A AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41292
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34080700
—
WI
01
—
930104133
RAILROAD MEDICARE
WI
Enumeration date
03/25/2006
Last updated
07/30/2008
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