Individual
DR. RANDAL M SEDLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 264-8741
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00008204
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089004
—
AL
01
—
51089004
BLUE CROSS
AL
Enumeration date
01/10/2007
Last updated
01/23/2019
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