Provider Demographics
NPI:1609208529
Name:ENGELHARDT, PHILIP LINN (DVM)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:LINN
Last Name:ENGELHARDT
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 WESTSIDE SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-9357
Mailing Address - Country:US
Mailing Address - Phone:989-686-0703
Mailing Address - Fax:
Practice Address - Street 1:6015 WESTSIDE SAGINAW RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9357
Practice Address - Country:US
Practice Address - Phone:989-686-0703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901003986174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian