| Doctor Name: | DR. JOHN R SANBORN |
| NPI Number: | 1003897323 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301039821 |
| Business Practice Address: | 35046 Woodward Ave Suite 100 Birmingham, MI - 480090932 |
| Business Phone Number: | 2486479860 |
| Business Fax Number: | 2486479864 |
| Mailing Address: | 35046 Woodward Ave, Suite 100 BIRMINGHAM |
| State: | MI |
| Postal Code: | 480090932 |
| Phone Number: | 2486479860 |
| Fax Number: | 2486479864 |
| NPI Enumeration Date: | 11/14/2005 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 4301039821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |