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Individual

BRIAN THOMAS SLEASMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
251 E HURON ST # 3-104, CHICAGO, IL 60611-2908
(312) 926-7430
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425-8905
(843) 792-1792

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
LL39592
SC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
125078089
IL

Other

Enumeration date
06/07/2016
Last updated
06/10/2021
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