Provider Demographics
NPI:1982172862
Name:ENGLEHART, MERCEDES BM (PERFUSION)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:BM
Last Name:ENGLEHART
Suffix:
Gender:F
Credentials:PERFUSION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45211 N HELM ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170
Mailing Address - Country:US
Mailing Address - Phone:734-525-9712
Mailing Address - Fax:800-847-7193
Practice Address - Street 1:45211 N HELM ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170
Practice Address - Country:US
Practice Address - Phone:734-525-9712
Practice Address - Fax:800-847-7193
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2023-11-17
Deactivation Date:2023-02-09
Deactivation Code:
Reactivation Date:2023-11-17
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist