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Individual

JEREMY D ENGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
602 W REDSKIN TRL, WAPAKONETA, OH 45895-9349
(419) 738-5151
(419) 941-1092
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 228-3335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.076158
OH
207Q00000X
Family Medicine Physician
35995
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080159288
RAILROAD MEDICARE
KY
05
2270484
OH
05
64013303
KY
01
P00839905
RAILROAD MEDICARE
KY
Enumeration date
05/31/2006
Last updated
05/12/2025
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