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Individual

JAN S AUGENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
170 TAYLOR STATION RD, COLUMBUS, OH 43213-4441
(614) 545-7900
(614) 545-7901
Mailing address
170 TAYLOR STATION RD, COLUMBUS, OH 43213-4441
(614) 545-7900
(614) 545-7901

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50000372
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000349509
ANTHEM
OH
Enumeration date
08/24/2005
Last updated
11/05/2009
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