Individual provider · Type 1 NPI
Michael Reuben Engelsgjerd, MD
General Practice Physician · Kingfisher, OK
NPI number
1336321884
Active
Practice location
715 S 8th St
Kingfisher, OK 73750-3513
Fax (580) 614-2070
Mailing address
715 South 8th Street
Kingfisher, OK 73750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 26010 (OK) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1336321884
Michael Reuben Engelsgjerd, MD's National Provider Identifier is 1336321884, issued on Nov 27, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kingfisher, OK. The record was last updated on Nov 27, 2007.