Individual
DR. WADE WILLIAM DEAUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 E 2ND ST, DULUTH, MN 55805-1906
(218) 786-4000
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
79914
MN
207P00000X
Emergency Medicine Physician
85820
WI
Other
Enumeration date
03/22/2022
Last updated
09/11/2025
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