Organization
OLIVE TREE HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAINER ALEJANDRO BIRK MD (MD/PRESIDENT)
(334) 222-8734
Entity
Organization
Contact information
Practice address
301 MEDICAL AVENUE, SUITE B, ANDALUSIA, AL 36420
(334) 222-8734
(334) 222-8736
Mailing address
301 MEDICAL AVENUE, SUITE B, ANDALUSIA, AL 36420
(334) 222-8734
(334) 222-8736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28503
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
02/19/2008
Last updated
02/19/2008
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