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1023767415
AUGUSTIN DOUGLAS HERNANDEZ
GRAFTON, WI
NPI
1023767415
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Former Name
DOUGLAS AUGUSTIN HERNANDEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 81446-21)
Enumeration Date
2022-03-22
Last Update Date
2025-08-22
Business Address
AUGUSTIN DOUGLAS HERNANDEZ DO
215 WASHINGTON ST
GRAFTON, WI 53024-1700
Phone number: 262-375-3700
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Mailing Address
AUGUSTIN DOUGLAS HERNANDEZ DO
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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