Individual
DR. TODD L ENGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 W DEYOUNG ST, MARION, IL 62959-5884
(618) 998-7000
(618) 997-6589
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036113579
IL
207P00000X
Emergency Medicine Physician
036113579
OH
207P00000X
Emergency Medicine Physician
35101
KY
207P00000X
Emergency Medicine Physician
Primary
E-14230
AR
Other
Enumeration date
10/17/2005
Last updated
09/08/2021
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