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Individual

JOHN T ENGELS

Active
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Individual

JOHN T ENGELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036112438
IL
2085R0202X
Diagnostic Radiology Physician
Primary
R5H85
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006021895
IL BLUE
01
014013128
MO CARE
01
020012444
MO CARE
01
100569
H LINK
01
1390
MO BLUE
01
1600224
PH PLAN
01
16850
BLUE CHOICE
01
202673208
MC MCAID
01
2781
GHP
01
300066984
RR CARE
01
300066991
RR CARE
01
398025
HLT PART
01
431725842MID
MERCY
01
5777
HCARE USA
01
E39928
GATE WAY
Enumeration date
07/24/2006
Last updated
03/18/2009
Update your record

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