Provider Demographics
NPI:1275566796
Name:SANZENBACHER, KARL ERWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:ERWIN
Last Name:SANZENBACHER
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 1:5 CORTLAND CIR
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2939
Mailing Address - Country:US
Mailing Address - Phone:207-945-4007
Mailing Address - Fax:
Practice Address - Street 1:489 STATE ST
Practice Address - Street 2:EASTERN MAINE MEDICAL CENTER
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6616
Practice Address - Country:US
Practice Address - Phone:207-973-7360
Practice Address - Fax:207-973-7362
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0064382084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology