Organization
ADVANCED OBGYN PC
Active
Other names
Advanced Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J CONRAD MD (MD)
(256) 881-9997
Entity
Organization
Contact information
Practice address
250 CHATEAU DR SW STE 100, HUNTSVILLE, AL 35801-3497
(256) 881-9997
(256) 880-3838
Mailing address
250 CHATEAU DR SW STE 100, HUNTSVILLE, AL 35801-3497
(256) 881-9997
(256) 880-3838
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22430
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517281
MEDICARE
AL
05
—
051517281
—
AL
01
—
1823651
1ST HEALTH/CCN
AL
01
—
51517281
BCBS OF AL
AL
01
—
7338022
AETNA
AL
01
—
7410654
UNITED HEALTHCARE
AL
Enumeration date
11/19/2007
Last updated
06/03/2015
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