Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01083545 | IN |
NPI | 1518209451 |
---|---|
Provider Name | Austin Michael Hill |
First Address | Fort Wayne, IN 46845-1703 |
Second Address | Akron, OH 44307-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2013 |
Last Update Date | 08/07/2020 |