Individual
JACKLYN MAYE ENGELBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, SPC 5033, TAUBMAN CENTER, FLOOR 2, RECEPTION C, ANN ARBOR, MI 48109-5033
(734) 936-5738
Mailing address
1500 E MEDICAL CENTER DRIVE, 1C340 TRAUMA BURN, SPC 5033, ANN ARBOR, MI 48109-5033
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R-11210
IA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301513544
MI
Other
Enumeration date
05/23/2018
Last updated
07/22/2025
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