Individual
HANNAH ANN SLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8175 W US20, SHIPSHEWANA, IN 46565-9169
(260) 768-7432
Mailing address
3702 NEW VISION DR STE B, FORT WAYNE, IN 46845-1703
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6118
TEMPORARY EDUCATIONAL PERMIT
NE
Enumeration date
08/13/2009
Last updated
04/22/2026
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