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Individual

DR. MICHAEL LLOYD RIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 539-4080
(256) 539-4099

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14612
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000033799
AL
01
0098921
BCBS
TN
01
060037259
RAILROAD MEDICARE
05
111659
AL
05
111660
AL
05
111661
AL
05
111663
AL
05
111665
AL
05
111667
AL
01
25-10159
UNITED HEALTHCARE
01
4072215
AETNA
01
510-33799
BCBS
AL
01
510-49273
BCBS
AL
01
510-49274
BCBS
AL
01
510-49275
BCBS
AL
01
510-49374
BCBS
AL
01
510-49375
BCBS
AL
01
515-98520
BCBS
AL
01
P00744573
RAILROAD MEDICARE
AL
Enumeration date
01/27/2006
Last updated
09/30/2009
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