Individual
CARLOS R SANABRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 S. SILVERBROOK DR., WEST BEND, WI 53095
(262) 334-6020
(262) 334-6067
Mailing address
525 S. SILVERBROOK DRIVE, WEST BEND, WI 53095
(262) 334-6020
(262) 334-6067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28191-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005
BCBS
WI
05
—
31684100
—
WI
Enumeration date
05/04/2006
Last updated
07/17/2013
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