Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 309870 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 309870 | NY |
NPI | 1336148345 |
---|---|
Provider Name | James A Engels |
First Address | Rochester, NY 14617-5504 |
Second Address | Edina, MN 55436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4188433 | (05) | MI |
F95957 | (02) |