Provider Demographics
NPI:1043348378
Name:ENGELMANN, GUY R (MD)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:R
Last Name:ENGELMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:909 HYDE ST
Mailing Address - Street 2:SUITE # 615
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4822
Mailing Address - Country:US
Mailing Address - Phone:415-441-5000
Mailing Address - Fax:415-441-5003
Practice Address - Street 1:909 HYDE ST
Practice Address - Street 2:SUITE # 615
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4822
Practice Address - Country:US
Practice Address - Phone:415-441-5000
Practice Address - Fax:415-441-5003
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAGO81777207XS0117X
CAG0817772086S0102X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG081777OtherCALIFORNIA LICENSE NUMBER
CAG81727Medicare UPIN
00G817770Medicare ID - Type Unspecified