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NPI Code Detail

MEDICARE: WILLIAM CHARLES AUTEN

MEDICARE: WILLIAM CHARLES AUTEN
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
1363LF0000XFamily Nurse Practitioner4704365804MI
2163W00000XRegistered Nurse4704365804MI

General Provider Information

NPI Number : 1366308389
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CHARLES AUTEN
Provider Business Mailing Address
First Line : 14815 BRANT RD
Second Line :
City : SAINT CHARLES
State : MI
Zip : 48655-9520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3570 SHATTUCK RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3153
Country : US
Telephone Number : 989-792-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2026
Last Update Date : 02/10/2026

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