Augustyn, Gary T

Augustyn, Gary T is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Augustyn, Gary T can be contacted via phone (734) 712-3456.

Contact Information

Primary practice address
5301 E Huron River Dr Ypsilanti MI 48197-1051
Phone: (734) 712-3456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301050775 Michigan

Profile Details

NPI number 1932151701
LBN Legal business name Augustyn, Gary T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 31st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932151701 NPPES
Michigan MEDICAID 1996856
Michigan Other P00350162
Michigan MEDICAID 4877492

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