Provider Demographics
NPI:1639967045
Name:ENGELSMAN, SARAH MARIE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:ENGELSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 HEMLOCK CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48850-9699
Mailing Address - Country:US
Mailing Address - Phone:989-818-0660
Mailing Address - Fax:
Practice Address - Street 1:730 W SHAW ST
Practice Address - Street 2:
Practice Address - City:HOWARD CITY
Practice Address - State:MI
Practice Address - Zip Code:49329-8400
Practice Address - Country:US
Practice Address - Phone:231-937-5282
Practice Address - Fax:231-937-7472
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031065183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist