Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301086579 | MI |
N | 2081P2900X | Pain Medicine | 4301086579 | MI |
N | 2081S0010X | Sports Medicine | 4301086579 | MI |
N | 213ES0000X | Sports Medicine | 4301086579 | MI |
NPI | 1124232855 |
---|---|
Provider Name | Burton G. Engel |
First Address | Warren, MI 48088 |
Second Address | Warren, MI 48088-3730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 25/11/2020 |