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NPI Code Detail

MEDICARE: BARRY I AUSTER MD PC

MEDICARE: BARRY I AUSTER MD PC
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
1207N00000XDermatology Physician4301039912MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2791073153AOTHERMIMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10636848OTHERMIBCBSM
3070F358740OTHERMIBCBSM

General Provider Information

NPI Number : 1861539256
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY I AUSTER MD PC
Provider Business Mailing Address
First Line : 31420 NORTHWESTERN HWY
Second Line : SUITE 150
City : FARMINGTON HILLS
State : MI
Zip : 48334-2508
Country : US
Telephone Number : 248-538-0109
Fax Number : 248-538-0675
Provider Business Practice Location Address
First Line : 31420 NORTHWESTERN HWY
Second Line : SUITE 150
City : FARMINGTON HILLS
State : MI
Zip : 48334-2508
Country : US
Telephone Number : 248-538-0109
Fax Number : 248-538-0675
Authorized Official
Title or Position : PRESIDENT
Name : DR. BARRY I AUSTER
Credential : MD
Telephone Number : 248-538-0109
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/01/2008

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Directions to “BARRY I AUSTER MD PC ” Practice Location

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