Provider Demographics
NPI:1952332272
Name:BLANCHER, MADELEINE S (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:S
Last Name:BLANCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 91899
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36691-1899
Mailing Address - Country:US
Mailing Address - Phone:251-342-8900
Mailing Address - Fax:251-342-2333
Practice Address - Street 1:6321 PICCADILLY SQ DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5305
Practice Address - Country:US
Practice Address - Phone:251-342-8900
Practice Address - Fax:251-342-2333
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4513208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000810014Medicaid
AL51009547OtherBC/BS
AL1210322OtherUNITED HEALTH CARE
AL156512Medicaid
AL156512Medicaid