Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 5101018174 | MI |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 5101018174 | MI |
NPI | 1427286400 |
---|---|
Provider Name | Dr. Meredith Elaine Austin |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ypsilanti, MI 48197-1051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2009 |
Last Update Date | 10/02/2017 |