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Dr. Augusto Ernesto Elias, MD
Diagnostic Radiology Physician in Wyoming, Michigan
NPI 1700906997

Augusto Ernesto Elias is a Diagnostic Radiology Physician based in Wyoming, MI and is specialized in Diagnostic Radiology. Augusto Ernesto Elias practices in Wyoming, MI and has the professional credentials of MD. The NPI Number for Augusto Ernesto Elias is 1700906997 and holds a License No. 4301087351 (Michigan).

The current practice location address for Augusto Ernesto Elias is 5900 Byron Center Ave Sw, Wyoming, MI and can be reached out via phone at 616-252-7159 and via fax at 616-252-6990.

Location: 5900 Byron Center Ave Sw, Wyoming, MI, 49519-9606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700906997
Provider Name
Augusto Ernesto Elias
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5900 Byron Center Ave Sw, Wyoming, MI, 49519-9606
Phone Number
616-252-7159
Fax Number
616-252-6990
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036130909 05 IL
institution
Provider Business Practice Location Address Details
Address
5900 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-9606
Phone Number
616-252-7159
Fax Number
616-252-6990
person
Provider Business Mailing Address Details
Address
5900 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-9606
Phone Number
616-252-7159
Fax Number
616-252-6990
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
036130909 (Illinois)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301087351 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
4301087351 (Michigan)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301087351 (Michigan)
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.
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