# REDLAND CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528247905
- **Authorized official:** MICHAEL BANTILAN MATELA M.D. (OWNER)
- **Authorized official phone:** (334) 354-9219

## Contact information

- **Practice address:** 740 US HIGHWAY 231, WETUMPKA, AL 36093-1228
- **Practice address phone:** (334) 567-8932
- **Practice address fax:** (334) 567-8933
- **Mailing address:** PO BOX 399, WETUMPKA, AL 36092-0007
- **Mailing address phone:** (334) 567-8932
- **Mailing address fax:** (334) 567-8933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27101 | AL | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 06/26/2008