Healthcare Provider Details

I. General information

NPI: 1639967045
Provider Name (Legal Business Name): SARAH MARIE ENGELSMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2025
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 W SHAW ST
HOWARD CITY MI
49329-8400
US

IV. Provider business mailing address

6768 HEMLOCK CT
LAKEVIEW MI
48850-9699
US

V. Phone/Fax

Practice location:
  • Phone: 231-937-5282
  • Fax: 231-937-7472
Mailing address:
  • Phone: 989-818-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302031065
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: