# V. STEPHEN SLANA, M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750504346
- **Authorized official:** VICTOR STEPHEN SLANA (PHYSICIAN)
- **Authorized official phone:** (262) 654-0726

## Contact information

- **Practice address:** 6125 GREEN BAY RD STE 800, KENOSHA, WI 53142-2982
- **Practice address phone:** (262) 654-0726
- **Practice address fax:** (262) 654-4365
- **Mailing address:** 6125 GREEN BAY RD STE 800, KENOSHA, WI 53142-2982
- **Mailing address phone:** (262) 654-0726
- **Mailing address fax:** (262) 654-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 32916 | WI | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1730155573 | NPI | WI |
| 01 | — | 1891761524 | NPI | WI |
| 05 | — | 31792900 | — | WI |
| 05 | — | 34243100 | — | WI |