Individual
JEFFREY D. SLIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R158977-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104131853
—
MN
Enumeration date
08/18/2010
Last updated
01/13/2014
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