Provider Demographics
NPI:1467672238
Name:SANGER, EDWARD MICHAEL (DO)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:MICHAEL
Last Name:SANGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 S FAYETTEVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6667
Mailing Address - Country:US
Mailing Address - Phone:336-625-2467
Mailing Address - Fax:336-625-2256
Practice Address - Street 1:218 FOUST ST STE C
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5476
Practice Address - Country:US
Practice Address - Phone:336-625-2333
Practice Address - Fax:336-625-5511
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-01541208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics