Doctor Name: | AUSTIN J CROW |
NPI Number: | 1386809325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1200 Oakleaf Way Suite A Altoona, WI - 547202245 |
Business Phone Number: | 7158321400 |
Business Fax Number: | 7158324187 |
Mailing Address: | 1200 Oakleaf Way, Suite A ALTOONA |
State: | WI |
Postal Code: | 547202245 |
Phone Number: | 7158321400 |
Fax Number: | 7158324187 |
NPI Enumeration Date: | 07/18/2008 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |