Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35028 | MN |
NPI | 1023093390 |
---|---|
Provider Name | Dr. William Keith Engel |
First Address | Golden Valley, MN 55427-4488 |
Second Address | Minnetonka, MN 55343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 17/03/2020 |