Individual
MR. AUSTIN PAUL DAMASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2171
Mailing address
20529 84TH PL, BRISTOL, WI 53104-9150
(262) 945-4367
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4189-23
WI
363A00000X
Physician Assistant
Primary
4189-23
WI
Other
Enumeration date
09/01/2017
Last updated
09/12/2017
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