Provider Demographics
NPI:1326027491
Name:MUENCH, ANDREAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:
Last Name:MUENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 ROSS CLARK CIR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3022
Mailing Address - Country:US
Mailing Address - Phone:334-712-1929
Mailing Address - Fax:334-712-2799
Practice Address - Street 1:1150 ROSS CLARK CIR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3022
Practice Address - Country:US
Practice Address - Phone:334-712-1929
Practice Address - Fax:334-712-2799
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26584207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03435OtherBLUE CROSS
AL051529628OtherBLUE CROSS
GA121474163BMedicaid
FL273292100Medicaid
AL051540249OtherBLUE CROSS ALABAMA
AL051556107Medicaid
AL009942664Medicaid
631087996OtherTAX ID#
AL009941259Medicaid
GAP00226523Medicare PIN
631087996OtherTAX ID#
AL009942664Medicaid
GA051556107Medicare PIN
FL273292100Medicaid