Individual
DR. GARY T AUGUSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301050775
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1996856
—
MI
05
—
4877492
—
MI
01
—
P00350162
RAILROAD MEDICARE
MI
Enumeration date
05/17/2006
Last updated
10/31/2007
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