Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301042498 | MI |
Y | 207VE0102X | Reproductive Endocrinologist | 4301042498 | MI |
NPI | 1598704348 |
---|---|
Provider Name | Dr. Harold John Sauer |
First Address | Bridgeport, CT 06610 |
Second Address | Bridgeport, CT 06610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 11/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A75905 | (02) | MI |