Individual
DR. MICHAEL JOSEF SLIMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58000956
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
51760
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37580900
—
WI
Enumeration date
05/17/2007
Last updated
03/18/2015
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