Individual
AUSTIN FERNSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST STE M-318, KALAMAZOO, MI 49007-5383
(269) 349-9745
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301506846
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
06/28/2022
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