Whalio Doctors

NPI 1083102792

Trent J Auguston, MD

Practitioner Family Medicine Physician Green Bay, WI

Practice location

Address
3021 Voyager Dr, Green Bay, WI 54311-8303
Phone
(920) 496-4700
Mailing address
PO Box 19070, Green Bay, WI 54307-9070

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 74441-20 (WI)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 125.071722 (IL)

Registry record

NPI
1083102792
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Apr 2018
Record last updated
7 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.