Organization
REDLAND CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BANTILAN MATELA M.D. (OWNER)
(334) 354-9219
Entity
Organization
Contact information
Practice address
740 US HIGHWAY 231, WETUMPKA, AL 36093-1228
(334) 567-8932
(334) 567-8933
Mailing address
PO BOX 399, WETUMPKA, AL 36092-0007
(334) 567-8932
(334) 567-8933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27101
AL
Other
Enumeration date
11/01/2007
Last updated
06/26/2008
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