Individual
JAMIE MICHAEL ENGELDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
107 RIDGEWATER DR, POLSON, MT 59860-8977
(406) 883-3737
(406) 883-2669
Mailing address
33981 CANYON MILL RD, RONAN, MT 59864-9160
(406) 241-4785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
03/15/2021
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