Individual
MARK DONALD ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3520 W 92ND AVE, SUITE #104, WESTMINSTER, CO 80031-3303
(303) 429-6600
Mailing address
3520 W 92ND AVE, SUITE #104, WESTMINSTER, CO 80031-3303
(303) 429-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36313
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01363134
—
CO
Enumeration date
06/01/2006
Last updated
05/13/2014
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