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Individual

DR. MICHAEL ENGLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 E DOUGLAS RD, SUITE 305, MISHAWAKA, IN 46545-1464
(574) 335-6460
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1028951
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000721961
BCBS
IN
05
100189630
IN
05
100189630A
IN
Enumeration date
09/28/2006
Last updated
01/13/2026
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