Engel Mind Body Psychiatry Pllc | |
4620 N Us Highway 31 N Traverse City MI 49686-3757 | |
(231) 938-2010 | |
(231) 938-2012 |
Full Name | Engel Mind Body Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 4620 N Us Highway 31 N, Traverse City, Michigan |
Authorized Official Name and Position | Michael Engel (PRESIDENT) |
Authorized Official Contact | 2319382010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Engel Mind Body Psychiatry Pllc Po Box 213 Cadillac MI 49601-0213 Ph: (231) 775-6076 | Engel Mind Body Psychiatry Pllc 4620 N Us Highway 31 N Traverse City MI 49686-3757 Ph: (231) 938-2010 |
NPI Number | 1043318025 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3870680895 |
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Medicare Enrollment ID | O20071107000328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043318025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Michael F Engel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366400475 PECOS PAC ID: 7719878354 Enrollment ID: I20040323000556 |
Provider Name | Christine A Berg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699733709 PECOS PAC ID: 6204728413 Enrollment ID: I20040325000029 |
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