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Contact Information

FREDRICK C AUSTERMANN, DDS
6217 S PACKARD AVE
CUDAHY, WI53110-3096
 Phone: 414-764-5550
 Fax: 414-764-8175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for FREDRICK C AUSTERMANN · (Male)

NPI # 1093789331
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/14/2006
Last updated 12/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 5000496
  • WI Medicaid 33535800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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