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NPI Code Detail

MEDICARE: DR. KIMBERLY B AUGENSTEIN M.D.

MEDICARE:  DR. KIMBERLY B AUGENSTEIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician4301061107MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760431340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY B AUGENSTEIN M.D.
Provider Business Mailing Address
First Line : 3988 W ROYAL DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-9200
Country : US
Telephone Number : 231-935-0860
Fax Number : 231-935-0930
Provider Business Practice Location Address
First Line : 3988 W ROYAL DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-9200
Country : US
Telephone Number : 231-935-0860
Fax Number : 231-935-0930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 02/28/2022

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Directions to “ DR. KIMBERLY B AUGENSTEIN M.D.” Practice Location

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