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Individual

ANDREW J SAUERACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
403 KENDALL DR, SUITE 1500, LAMAR, CO 81052-3953
(719) 336-7005
(719) 336-7012
Mailing address
516 WILLOW VALLEY DR, LAMAR, CO 81052-3918
(719) 336-3894

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27301
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01273010
CO
Enumeration date
07/03/2006
Last updated
07/08/2007
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