Individual
MARK C AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 E NORTHLAND AVE, STE A, APPLETON, WI 54911-8426
(920) 734-8714
(920) 734-8785
Mailing address
1301 E NORTHLAND AVE, STE A, APPLETON, WI 54911-8426
(920) 734-8714
(920) 734-8785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33602
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180030240
RAILROAD MEDICARE
WI
05
—
32890500
—
WI
Enumeration date
06/13/2006
Last updated
12/02/2009
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