Individual
HEATHER E SLAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9795 E 116TH ST, FISHERS, IN 46037-2822
(317) 913-8100
Mailing address
9795 E 116TH ST, FISHERS, IN 46037-2822
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01057719A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200438690
—
IN
Enumeration date
05/09/2006
Last updated
08/10/2022
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