# DR. ALEX J SLANDZICKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144264458
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30229 | TN | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 09/07/2023

## 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 |