Individual
DR. MICHAEL T FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-5105
(334) 671-5073
Mailing address
1118 ROSS CLARK CIRCLE, STE 700, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00021633
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00021633
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
00021633
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000076592
—
AL
01
—
00784473A
MEDICAID
GA
01
—
51076592
BCBS OF ALABAMA
—
Enumeration date
01/10/2006
Last updated
05/11/2011
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