Individual
MR. JOHN W ENGBRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
452 PERKINS EXT, MEMPHIS, TN 38117-3808
(901) 888-2646
(901) 888-2647
Mailing address
452 PERKINS EXT, MEMPHIS, TN 38117-3808
(901) 888-2646
(901) 888-2647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267535800
—
FL
05
—
5441917
—
TN
Enumeration date
09/16/2005
Last updated
09/26/2014
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