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Individual

MICHAEL J AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60334541
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649407172
UT
05
1649407172
WA
01
P01314790
RR MEDICARE
WA
Enumeration date
06/10/2009
Last updated
12/13/2018
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