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NPI Code Detail

MEDICARE: ANDREW J SAUERACKER M.D.

MEDICARE: ANDREW J SAUERACKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician27301CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558390252
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW J SAUERACKER M.D.
Provider Business Mailing Address
First Line : 516 WILLOW VALLEY DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3918
Country : US
Telephone Number : 719-336-3894
Fax Number :
Provider Business Practice Location Address
First Line : 403 KENDALL DR
Second Line : SUITE 1500
City : LAMAR
State : CO
Zip : 81052-3953
Country : US
Telephone Number : 719-336-7005
Fax Number : 719-336-7012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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