Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 40542 | WI |
NPI | 1033178272 |
---|---|
Provider Name | William D Aughenbaugh |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 15/01/2021 |