Individual
MICHAEL K AUGUSTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 S UNIVERSITY AVE, STE 510, BEAVER DAM, WI 53916-3081
(920) 885-8586
(920) 885-8771
Mailing address
705 S UNIVERSITY AVE, STE 510, BEAVER DAM, WI 53916-3081
(920) 885-8586
(920) 885-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27426-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770534208
—
WI
Enumeration date
05/12/2006
Last updated
02/08/2017
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