Individual
JUSTIN LEE ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
(734) 936-9091
Mailing address
3621 SOUTH STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301094646
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/08/2009
Last updated
04/05/2018
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