Individual provider · NPI-1

Daniel Augustinack

Specialist/Technologist, Athletic Trainer · Minneapolis, MN

NPI number1053704296
StatusActive
Last updated in NPPESMar 12, 2015

Details

NPI
1053704296
Entity type
Individual (NPI-1)
Name
Daniel Augustinack
Sex
Male
Sole proprietor
No
Enumeration date
Mar 12, 2015
Last updated
Mar 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–MNYes

Practice location

3033 Excelsior Blvd Ste 225
Minneapolis, MN 55416-0026

Phone 612-821-4375

Mailing address

3033 Excelsior Blvd Ste 225
Minneapolis, MN 55416-0026

Phone 612-821-4375

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Minneapolis, MN