Redland Clinic LLC

NPI #1528247905 in Wetumpka, Alabama

Provider Information

NPI Number
1528247905
Entity Type
Organization
Organization Name
Redland Clinic LLC
Primary Specialty
Family Medicine
Enumeration Date
Nov 1, 2007
Last Updated
Jun 26, 2008

Practice Location

Address
740 US HIGHWAY 231
State
Alabama
ZIP Code
36093-1228
Phone
(334) 567-8932

Authorized Official

Name
MICHAEL BANTILAN MATELA, M.D.
Title
OWNER
Phone
(334) 354-9219

Specialties & Taxonomy Codes

Specialty
Family Medicine

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