Individual
MATTHEW ENGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5917 HALLOWELL PL, FORT WAYNE, IN 46815-6214
(260) 486-8133
Mailing address
5917 HALLOWELL PL, FORT WAYNE, IN 46815-6214
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1686
IN
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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