Individual
DR. MARK D. ENGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3385 S CENTER RD, BURTON, MI 48519-1457
(810) 244-3434
(810) 715-0301
Mailing address
3385 S CENTER RD, BURTON, MI 48519-1457
(810) 244-3434
(810) 715-0301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490122485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0950190001
MCSUPPLY
MI
01
—
ME002485
BCVISION
MI
Enumeration date
01/20/2006
Last updated
09/18/2012
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