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Brent Engstrom
NPI 1558858936 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1410 Nth 23rd Street
Superior, WI 54880 - Phone
- (218) 591-5016
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin