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Individual

DR. JON H. ENGELKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
218 EASTBANK CT N, HUDSON, WI 54016-1083
(715) 377-7698
(715) 377-7698
Mailing address
218 EASTBANK CT N, HUDSON, WI 54016-1083
(715) 377-7698
(715) 377-7698

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20727
MS
207X00000X
Orthopaedic Surgery Physician
Primary
29551
MN
207X00000X
Orthopaedic Surgery Physician
29716
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0245007
PREFERRED ONE
MN
01
068K0EN
BCBS OF MN
MN
05
069888100
MN
01
0901080
MEDICA
MN
01
102956
UCARE MN
MN
01
4268943
AETNA
MN
01
HP13235
HEALTHPARTNERS
MN
Enumeration date
04/10/2006
Last updated
03/23/2010
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