MICHAEL SLACK, DO
Family Medicine
Active
Individual
NPI: 1679006076
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | S3590 (TX) |
Frequently Asked Questions
NPI 1679006076 is the National Provider Identifier for MICHAEL SLACK, DO, a Family Medicine provider located in Caldwell, ID. This NPI was enumerated on April 4, 2017.
MICHAEL SLACK, DO practices at 4815 CLEVELAND BLVD, Caldwell, ID 83605.
Quick Facts
- NPI
- 1679006076
- Type
- Individual
- Enumerated
- Apr 4, 2017
- Last Updated
- Feb 20, 2024
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