Individual
MICHAEL JOKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 301-3360
(256) 301-3305
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00022188
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060666
—
AL
01
—
051060666
BLUE CROSS
AL
05
—
157292
—
AL
01
—
300109470
TRICARE
AL
01
—
4279936
AETNA
AL
01
—
511-45345
BLUE CROSS
AL
01
—
P01435030
RRMC
AL
Enumeration date
12/01/2006
Last updated
09/16/2015
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