Basic Information
Provider Information
NPI: 1558475608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GERMANN
FirstName: JOSEPH
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 BEACON PKWY W
Address2: SUITE 330
City: BIRMINGHAM
State: AL
PostalCode: 352093102
CountryCode: US
TelephoneNumber: 2057155910
FaxNumber: 2057155928
Practice Location
Address1: 7530 PARKWAY DR
Address2:  
City: LEEDS
State: AL
PostalCode: 350944808
CountryCode: US
TelephoneNumber: 2056992541
FaxNumber: 2056992548
Other Information
ProviderEnumerationDate: 08/18/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X7853ALY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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