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Individual

IAN FLANIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1022 1ST ST N STE 102, ALABASTER, AL 35007-8710
(205) 663-9550
Mailing address
5295 PRESERVE PKWY STE 100, HOOVER, AL 35244-4702

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34735
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197201
AL
Enumeration date
04/16/2014
Last updated
03/17/2018
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