Individual
MICHAEL SHORTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
(205) 554-2824
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16313
AL
Other
Enumeration date
03/14/2006
Last updated
10/25/2011
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