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Mr. Brent Adam Engstrom
Student in an Organized Health Care Education/Training Program in Superior, Wisconsin
NPI 1558858936

Brent Adam Engstrom is a Student in an Organized Health Care Education/Training Program based in Superior, WI. Brent Adam Engstrom practices in Superior, WI. The NPI Number for Brent Adam Engstrom is 1558858936 and holds a License No. (Wisconsin).

The current practice location address for Brent Adam Engstrom is 1410 Nth 23Rd Street, Superior, WI and can be reached out via phone at 218-591-5016.

Location: 1410 Nth 23Rd Street, Superior, WI, 54880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558858936
Provider Name
Brent Adam Engstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
1410 Nth 23Rd Street, Superior, WI, 54880
Phone Number
218-591-5016
Fax Number
Provider Enumeration Date
04/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1410 Nth 23Rd Street
City
Superior
State
Wisconsin
Zip
54880
Phone Number
218-591-5016
Fax Number
person
Provider Business Mailing Address Details
Address
1410 Nth 23Rd Street
City
Superior
State
Wisconsin
Zip
54880
Phone Number
218-591-5016
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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