Individual
DR. ALEXANDER JOSEPH RADNOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 886-6800
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3106
(812) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01065196A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000868358
ANTHEM
—
05
—
200911470
—
IN
Enumeration date
05/27/2008
Last updated
06/25/2020
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