Individual
THEODORE GEORGE ENGELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1990 UNION LAKE RD STE 100, COMMERCE TWP, MI 48382-2200
(248) 303-4680
(248) 572-4995
Mailing address
PO BOX 355, LAKEVILLE, MI 48366-0355
(248) 303-4680
(248) 572-4995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TE007018
MI
208D00000X
General Practice Physician
Primary
TE007018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34006
BLUE CROSS BLUE SHIELD
MI
01
—
0H74439
BCBS
MI
05
—
4861124
—
MI
Enumeration date
07/24/2006
Last updated
07/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us