Individual
MICHAEL LANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
727 MEMORIAL DR, BESSEMER, AL 35022-6029
(205) 332-3160
(866) 702-0880
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2051
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1022584
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045675
—
AL
01
—
051045675
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/18/2006
Last updated
10/10/2016
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