Individual
THEODORE STEPHEN SAUER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W OHIO ST, KENDALLVILLE, IN 46755-2018
(260) 212-1906
(260) 279-5737
Mailing address
2622 LAKE AVE, FORT WAYNE, IN 46805-5410
(260) 425-3100
(260) 745-1321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059997A
IN
207Q00000X
Family Medicine Physician
4301084790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375796
ANTHEM
IN
05
—
200529220
—
IN
Enumeration date
01/18/2006
Last updated
06/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us