Provider Demographics
NPI:1255323341
Name:AUSTER, BARRY I (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:I
Last Name:AUSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR LBBY J2000
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:31275 NORTHWESTERN HWY STE 140
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2531
Practice Address - Country:US
Practice Address - Phone:248-538-0109
Practice Address - Fax:248-538-0675
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301039912207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI070F358740OtherBCBSM
MI0636848OtherBCBSM
MI791073153AOtherMEDICARE RAILROAD
MI0706364961OtherBCBSM
MI070F358740OtherBCBSM
MI791073153AOtherMEDICARE RAILROAD