Provider Demographics
NPI:1346342870
Name:AUGUSTYN, PHILLIP FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:FRANKLIN
Last Name:AUGUSTYN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 W RUSSELL ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1160
Mailing Address - Country:US
Mailing Address - Phone:734-429-1234
Mailing Address - Fax:734-429-5982
Practice Address - Street 1:420 W RUSSELL ST
Practice Address - Street 2:SUITE 203
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1160
Practice Address - Country:US
Practice Address - Phone:734-429-1234
Practice Address - Fax:734-429-5982
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301041936207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology