Individual
DOUGLAS HARLEY SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-6749
Mailing address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
(989) 348-6749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301406865
MI
208000000X
Pediatrics Physician
Primary
4301406865
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2982265
—
MI
05
—
3389713
—
MI
05
—
4120160
—
MI
Enumeration date
07/09/2006
Last updated
08/23/2007
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