Individual
CODY AUSTIN DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2121
(715) 847-2216
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2121
(715) 847-2216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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