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Individual
DR. MELANIE PATRICE SLACK
Active
Individual
DR. MELANIE PATRICE SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C1-0010354
DE
207Q00000X
Family Medicine Physician
C7-0004578
DE
207Q00000X
Family Medicine Physician
Primary
DS0080767
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/04/2010
Last updated
10/10/2024
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