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1154513364
MICHAEL JOHN AUSTEN
BRADENTON, FL
NPI
1154513364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME118122)
Enumeration Date
2007-08-11
Last Update Date
2017-09-27
Business Address
Dr. MICHAEL JOHN AUSTEN MD
4647 MANATEE AVE W
BRADENTON, FL 34209-3816
Phone number: 941-745-5999
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Mailing Address
Dr. MICHAEL JOHN AUSTEN MD
367 S. GULPH RD ATT IPM CREDENTIALING
KING OF PRUSSIA, PA 19406-3121
Phone number: 775-356-9393
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