Individual
DR. MICHAEL AARON ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
772025
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43226500
—
WI
01
—
480028300
RAIL RAOD MEDICARE GROUP MEMBER PTAN #
WI
Enumeration date
09/12/2006
Last updated
03/18/2015
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