Individual
MICHAEL R WALDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
16581
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084449
—
AL
05
—
06775396
—
AL
01
—
10465
HEALTHSPRING
AL
01
—
290007774
RR MEDICARE
AL
01
—
84449
BCBS
AL
Enumeration date
08/11/2006
Last updated
07/13/2011
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