Individual
MARK RICHARD JANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 INDEPENDENCE PLZ, STE 900, BIRMINGHAM, AL 35209-2629
(205) 271-8000
(205) 879-0548
Mailing address
1 INDEPENDENCE PLZ, STE 900, BIRMINGHAM, AL 35209-2629
(205) 271-8000
(205) 879-0548
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528400180
—
AL
Enumeration date
12/01/2005
Last updated
08/05/2010
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