Individual
WLADIMIR WERTELECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 UNIVERSITY BLVD N, CC/CB 214, MOBILE, AL 36688-3053
(251) 460-7500
(251) 460-3837
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
6855
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019813
—
MS
01
—
12-10008
UNITED HEALTH CARE
AL
01
—
51046755
BLUE CROSS
AL
Enumeration date
05/26/2006
Last updated
04/08/2008
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