Individual
DR. BLAKE MITCHELL SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
391 E. M-134, CEDARVILLE, MI 49719-0630
(906) 484-2295
(906) 484-2614
Mailing address
PO BOX 630, CEDARVILLE, MI 49719-0630
(906) 484-2295
(906) 484-2614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007998
MI
Other
Enumeration date
03/22/2006
Last updated
11/28/2007
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