Provider Demographics
NPI:1982906889
Name:AUWINGER, DONALD CRAIG
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CRAIG
Last Name:AUWINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 SANGUINETTI RD
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-6215
Mailing Address - Country:US
Mailing Address - Phone:209-533-7812
Mailing Address - Fax:209-533-7815
Practice Address - Street 1:1291 SANGUINETTI RD
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-6215
Practice Address - Country:US
Practice Address - Phone:209-533-7812
Practice Address - Fax:209-533-7815
Is Sole Proprietor?:No
Enumeration Date:2010-11-28
Last Update Date:2010-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist