Individual
MARY ELLEN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 501-3000
(651) 501-3500
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5435
MN
Other
Enumeration date
04/12/2006
Last updated
04/06/2015
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