Organization
SOUTH BEND NEUROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ENGLERT M.D. (OWNER)
(574) 282-2305
Entity
Organization
Contact information
Practice address
100 NAVARRE PL, STE 6640, SOUTH BEND, IN 46601-1156
(574) 282-2305
Mailing address
PO BOX 4140, SOUTH BEND, IN 46634-4140
(574) 282-2305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222640
—
IN
Enumeration date
02/21/2007
Last updated
08/23/2011
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