MEDICARE: PAMELA SUE AUGHE

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
1	133V00000X	Registered Dietitian		MI

General Provider Information

NPI Number	:	1245199108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA SUE AUGHE

Provider Business Mailing Address
First Line	:	8601 MILLER RD
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-2543
Country	:	US
Telephone Number	:	248-245-1033
Fax Number	:

Provider Business Practice Location Address
First Line	:	8601 MILLER RD
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-2543
Country	:	US
Telephone Number	:	248-245-1033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ PAMELA SUE AUGHE ” Practice Location

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