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Individual

DR. SAMUEL COOPER ENGEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2680 GRAVOIS RD, HIGH RIDGE, MO 63049-2508
(636) 253-5120
Mailing address
2680 GRAVOIS RD, HIGH RIDGE, MO 63049-2508
(636) 253-5120

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022030228
MO

Other

Enumeration date
06/30/2014
Last updated
09/07/2023
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