Individual
SIARHEI SLINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N MICHIGAN ST FL 5, SOUTH BEND, IN 46601-1033
(574) 647-7275
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01087405A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259900044
MEDICARE PTAN
IN
05
—
300061116
—
IN
Enumeration date
08/06/2008
Last updated
06/02/2022
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