Provider Demographics
NPI:1164411666
Name:SAUER, PAUL FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FREDERICK
Last Name:SAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 10TH AVE S STE 707
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1628
Mailing Address - Country:US
Mailing Address - Phone:205-930-4700
Mailing Address - Fax:
Practice Address - Street 1:2660 10TH AVE S STE 707
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1628
Practice Address - Country:US
Practice Address - Phone:205-930-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12022208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051019844OtherBC
AL00001984Medicaid
AL0200073366OtherRR MEDICARE