Provider Demographics
NPI:1578577219
Name:BLAUDEAU, FRANCOIS MICHEL (MD)
Entity Type:Individual
Prefix:
First Name:FRANCOIS
Middle Name:MICHEL
Last Name:BLAUDEAU
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 1:3401 INDEPENDENCE DR STE 221
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5620
Mailing Address - Country:US
Mailing Address - Phone:205-930-0080
Mailing Address - Fax:205-802-2240
Practice Address - Street 1:3401 INDEPENDENCE DR STE 221
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-5620
Practice Address - Country:US
Practice Address - Phone:205-930-0080
Practice Address - Fax:205-802-2240
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00015825174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51086959OtherBCBS
AL51086866OtherBCBS
AL51086958OtherBCBS
ALB65400Medicare UPIN
AL51086959OtherBCBS
AL51086958OtherBCBS
AL000086959Medicare ID - Type Unspecified