Individual
HARTWIG P JANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4011
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6411
AL
2085R0202X
Diagnostic Radiology Physician
Primary
MD6411
AL
2085R0204X
Vascular & Interventional Radiology Physician
MD6411
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939009
—
AL
01
—
051535350
BCBS
AL
05
—
05889525
—
MS
01
—
P00345188
RAILROAD MEDICARE
AL
Enumeration date
06/15/2005
Last updated
12/05/2016
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