Organization
COMPREHENSIVE MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE GEORGE ENGELMANN D.O. (PRESIDENT)
(248) 620-0377
Entity
Organization
Contact information
Practice address
5710 BELLA ROSE BLVD, SUITE 200, CLARKSTON, MI 48348-4773
(248) 620-0377
(248) 620-0385
Mailing address
5710 BELLA ROSE BLVD, SUITE 200, CLARKSTON, MI 48348-4773
(248) 620-0377
(248) 620-0385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TE007018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0856314034
BCBSM
MI
05
—
4861124
—
MI
Enumeration date
09/19/2006
Last updated
02/25/2008
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