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Individual
DR. ALEX J SLANDZICKI
Active
Individual
DR. ALEX J SLANDZICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30229
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38233071
—
TN
01
—
4158910
BLUE CROSS BLUE SHIELD
TN
01
—
5183202
AETNA
TN
01
—
P00439068
RR MEDICARE
TN
Enumeration date
06/16/2006
Last updated
09/07/2023
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