Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 15054 | ND |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 15054 | ND |
NPI | 1093005902 |
---|---|
Provider Name | Brian Sauer |
First Address | West Fargo, ND 58078-2793 |
Second Address | Fargo, ND 58103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2011 |
Last Update Date | 06/08/2018 |