Individual
DYLAN SLOTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
761 45TH AVE, STE 103, MUNSTER, IN 46321-2893
(219) 922-3002
(219) 922-3003
Mailing address
10110 DON S POWERS DR STE 101D, MUNSTER, IN 46321-4070
(219) 301-7244
(219) 595-0889
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01062924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200850540
—
IN
01
—
M47140081
MEDICARE PTAN
IN
Enumeration date
09/21/2006
Last updated
04/14/2021
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