Individual
GEORGE PHILLIP ENGELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 QUARRY LAKES DR, SANDUSKY, OH 44870-8635
(419) 626-9090
Mailing address
417 QUARRY LAKES DR, SANDUSKY, OH 44870-8635
(419) 626-9090
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35068060E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247503
—
OH
01
—
EN0788452
MEDICARE PROVIDER #
OH
Enumeration date
07/11/2005
Last updated
01/02/2008
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