Provider Demographics
NPI:1265455869
Name:AUSTRINS, KARLIS E (DO)
Entity Type:Individual
Prefix:
First Name:KARLIS
Middle Name:E
Last Name:AUSTRINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-3227
Mailing Address - Country:US
Mailing Address - Phone:989-996-0499
Mailing Address - Fax:
Practice Address - Street 1:1100 W SAGINAW ST # 5
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48915-2033
Practice Address - Country:US
Practice Address - Phone:517-887-5922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101015222207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4902960Medicaid
MI0153311875OtherBLUE CROSS BLUE SHIELD
MI200000002725OtherPHP & PHPFC
MIC37626035Medicare PIN
MIP00336550Medicare PIN