Individual
STEVEN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 HOGBACK RD, SUITE 5, ANN ARBOR, MI 48105-9750
(734) 786-4940
Mailing address
2995 APPLEWAY, ANN ARBOR, MI 48104-1807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301039791
MI
Other
Enumeration date
06/02/2006
Last updated
01/16/2008
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