Individual
MARIAM SHAHBAZIAN SAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
Mailing address
5115 OLEANDER DR, WILMINGTON, NC 28403-7018
(910) 362-1011
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
146448
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146448
NC STATE LICENSE #
NC
Enumeration date
05/27/2008
Last updated
05/27/2008
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