Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2017022724 | MO |
N | 207VX0000X | Obstetrician | 2017022724 | MO |
NPI | 1144753237 |
---|---|
Provider Name | Megan Sauer |
First Address | Alton, IL 62002-5068 |
Second Address | Alton, IL 62002-5068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2017 |
Last Update Date | 01/11/2021 |