Individual
DR. WAYNE MICHAEL SLIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
2102 E 38TH ST, DAVENPORT, IA 52807
(563) 359-4049
(563) 359-4069
Mailing address
2102 E 38TH ST, DAVENPORT, IA 52807
(563) 359-4049
(563) 359-4069
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00402
IA
103T00000X
Psychologist
071-002353
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012096
—
IA
Enumeration date
07/20/2006
Last updated
04/12/2013
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