Individual
SAMUEL ENGELSGJERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 DELAFIELD ST STE 207, WAUKESHA, WI 53188-3403
(262) 446-3593
Mailing address
1111 DELAFIELD ST STE 207, WAUKESHA, WI 53188-3403
(262) 446-3593
(262) 547-0379
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
83235-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/21/2019
Last updated
08/12/2024
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