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NPI 1376114819

IndividualActive

Anthony Austin

NPI 1376114819 · Driver · Milwaukee, WI

Provider details

NPI number: 1376114819
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No
License: A2350047408401 (WI)

Practice location

11414 W Park Pl Ste 202

Milwaukee, WI 53224-3500

Phone: (414) 979-9993

More WI providers

Mailing address

11414 W Park Pl Ste 202

Milwaukee, WI 53224-3500

Registry dates

Enumerated: 2021-07-06
Last updated: 2021-07-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anthony Austin — NPI 1376114819, Milwaukee, WI | NPI Central