Individual
MRS. JULIE LEA AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1440 N 25TH ST, SHEBOYGAN, WI 53081-3108
(920) 457-9100
(920) 457-1461
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(866) 630-9882
(920) 683-2131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
680-23
WI
Other
Enumeration date
04/17/2012
Last updated
12/19/2013
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