Healthcare Provider Details

I. General information

NPI: 1265173538
Provider Name (Legal Business Name): AUSTIN DONALD CARL KAYSER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2022
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 W GLEN OAKS LN STE 1
MEQUON WI
53092-3477
US

IV. Provider business mailing address

1045 W GLEN OAKS LN STE 1
MEQUON WI
53092-3477
US

V. Phone/Fax

Practice location:
  • Phone: 262-241-8100
  • Fax: 262-241-8200
Mailing address:
  • Phone: 262-241-8100
  • Fax: 262-241-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number82492-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number82492
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: