Individual
DR. AUGUSTO ERNESTO ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7159
(616) 252-6990
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036130909
IL
2085N0700X
Neuroradiology Physician
Primary
4301087351
MI
2085R0202X
Diagnostic Radiology Physician
036130909
IL
2085R0202X
Diagnostic Radiology Physician
4301087351
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301087351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130909
—
IL
Enumeration date
03/30/2007
Last updated
01/27/2026
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