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NPI Code Detail

MEDICARE: PHILIP LINN ENGELHARDT DVM

MEDICARE: PHILIP LINN ENGELHARDT DVM
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
1174M00000XVeterinarian6901003986MI

General Provider Information

NPI Number : 1609208529
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP LINN ENGELHARDT DVM
Provider Business Mailing Address
First Line : 6015 WESTSIDE SAGINAW RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9357
Country : US
Telephone Number : 989-686-0703
Fax Number :
Provider Business Practice Location Address
First Line : 6015 WESTSIDE SAGINAW RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9357
Country : US
Telephone Number : 989-686-0703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2013
Last Update Date : 08/01/2013

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Directions to “ PHILIP LINN ENGELHARDT DVM” Practice Location

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