Individual
DAVID E AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
(920) 682-9378
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4500
(920) 320-4584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33601
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001598648 02
UNITED HEALTH
WI
01
—
080126370
MEDICARE RAILROAD
WI
05
—
31852600
—
WI
01
—
33601
TOUCHPOINT
WI
01
—
390806395
CHAMPUS
WI
01
—
390806395008
TRICARE
WI
01
—
7413
NETWORK HEALTH
WI
01
—
F31064
CIGNA
WI
Enumeration date
08/21/2006
Last updated
12/13/2010
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