Individual
WILLIAM R AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5015
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4816
AK
2085R0202X
Diagnostic Radiology Physician
Primary
4455
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4816
—
AK
Enumeration date
06/06/2006
Last updated
03/25/2022
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