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Individual

SANFORD F FITZIG

Active
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Individual

SANFORD F FITZIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18108
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000685
BCBS
KS
01
—
12149517
MULTIPLAN
KS
01
—
16890
COVENTRY
KS
01
—
200115
HPK
KS
01
—
282
PHS
KS
Enumeration date
06/25/2006
Last updated
07/13/2007
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