Individual
SANFORD F FITZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9234
(316) 689-9909
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
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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