Individual
STEPHEN C SLAJUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801-3637
(906) 396-4443
Mailing address
PO BOX 243, NIAGARA, WI 54151-0243
(715) 251-3555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101009759
MI
207X00000X
Orthopaedic Surgery Physician
SS009759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205220004
BLUE CROSS
MI
05
—
30052700
—
WI
05
—
3011680
—
MI
Enumeration date
01/09/2006
Last updated
01/28/2019
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