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Individual

KLAUS MEDENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1107 14TH AVE SE, SUITE G200, DECATUR, AL 35601-3309
(256) 353-0605
(256) 353-0618
Mailing address
1107 14TH AVE SE, SUITE G200, DECATUR, AL 35601-3309
(256) 353-0605
(256) 353-0618

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
8696
AL

Other

Enumeration date
05/24/2007
Last updated
01/04/2010
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