Individual
JERRY S ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5770 MILL POND CT, WEST BLOOMFIELD, MI 48322-2078
(248) 926-2550
Mailing address
5770 MILL POND CT, WEST BLOOMFIELD, MI 48322-2078
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
400079
MI
Other
Enumeration date
02/14/2008
Last updated
10/08/2009
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