Individual
MICHAEL R. ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
817 TRAIL RIDGE RD, ALBION, IN 46701-1534
(260) 373-9590
(260) 373-9594
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001193A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207839
ANTHEM
IN
01
—
000000570548
ANTHEM
IN
01
—
00001076614 08
UNITED HEALTHCARE
—
05
—
100369380
—
IN
01
—
3937240018
MEDICARE DMEPOS
IN
01
—
4287896
AETNA
—
01
—
4567
PHYSICIANS HEALTH PLAN
IN
Enumeration date
12/14/2005
Last updated
10/03/2022
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