Whalio Doctors

NPI 1093789331

Fredrick C Austermann, DDS

Practitioner Pediatric Dentistry Cudahy, WI

Practice location

Address
6217 S Packard Ave, Cudahy, WI 53110-3096
Phone
(414) 764-5550
Fax
(414) 764-8175

Registered specialties

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X Licence 5000496 (WI)

Registry record

NPI
1093789331
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Feb 2006
Record last updated
6 Dec 2011

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.