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Individual
THEODORE GEORGE ENGELMANN
Active
Individual
THEODORE GEORGE ENGELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TE007018
MI
208D00000X
General Practice Physician
Primary
TE007018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34006
BLUE CROSS BLUE SHIELD
MI
01
—
0H74439
BCBS
MI
05
—
4861124
—
MI
Enumeration date
07/24/2006
Last updated
07/15/2024
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