Doctor Name: | DR. JOHN M ENGER |
NPI Number: | 1275616161 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 437 |
Business Practice Address: | 904 E Plaza St Albert Lea, MN - 560072044 |
Business Phone Number: | 5073736133 |
Business Fax Number: | 5073730261 |
Mailing Address: | 904 E Plaza St, ALBERT LEA |
State: | MN |
Postal Code: | 560072044 |
Phone Number: | 5073736133 |
Fax Number: | 5073730261 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 08/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |