Individual
JONATHAN H ENGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
(952) 924-4021
Mailing address
6533 DREW AVE S, EDINA, MN 55435-2103
(952) 927-7138
(952) 924-4021
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
47408
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510602800
—
MN
Enumeration date
02/02/2006
Last updated
05/25/2021
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