Individual
DR. AUSTIN WADE PULLIAM
Active
Individual
DR. AUSTIN WADE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01080285A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301111932
MI
Other
Enumeration date
04/25/2013
Last updated
05/01/2018
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