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NPI Code Detail

MEDICARE: MARTIN ENGMAN M.D.

MEDICARE:   MARTIN  ENGMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician01038975AIN

General Provider Information

NPI Number : 1184010050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN ENGMAN M.D.
Provider Business Mailing Address
First Line : 5917 HALLOWELL PL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-6214
Country : US
Telephone Number : 260-486-7542
Fax Number :
Provider Business Practice Location Address
First Line : 5917 HALLOWELL PL
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-6214
Country : US
Telephone Number : 260-486-7542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 04/15/2015

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