ELIJAH ENGWALL

WILMINGTON, NC
NPI1386131639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  2021-00517)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-21
Last Update Date2021-08-06
Business Address
ELIJAH ENGWALL
1124 GALLERY PARK BOULEVARD
WILMINGTON, NC 28412
Phone number: 910-341-1544
Mailing Address
ELIJAH ENGWALL
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401-7307
Phone number: 910-341-1544