Individual
MICHAEL A ENGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2300, MORGANTOWN, WV 26505-0000
(304) 599-8802
(304) 599-5607
Mailing address
2000 MON HEALTH MEDICAL PARK DR STE 2300, MORGANTOWN, WV 26505-1168
(304) 599-8802
(304) 599-5607
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1705
WV
207RI0011X
Interventional Cardiology Physician
Primary
1705
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714115
MOUNTAIN STATE BCBS
—
01
—
060059803
RR MEDICARE
—
05
—
1802323000
—
WV
Enumeration date
05/24/2006
Last updated
07/06/2021
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