Individual
ANNE SLACHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
965 S BAILEY AVE, SUITE 2-1, SOUTH HAVEN, MI 49090-9701
(269) 639-2772
(269) 639-2770
Mailing address
649 MAPLE CREEK DR, HOLLAND, MI 49423-5448
(269) 397-3244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003083
PHYS ASST. LICE NUMBER
—
Enumeration date
07/12/2006
Last updated
05/11/2021
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