Individual
JONATHAN CORWIN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE L2, OFFICE 216, CLEVELAND, OH 44195
(216) 448-4899
Mailing address
9500 EUCLID AVE L2, OFFICE 216, CLEVELAND, OH 44195
(216) 448-4899
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
287182
MA
Other
Enumeration date
07/12/2021
Last updated
03/11/2023
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