Individual
EDWARD CHARLES SLADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N HOMER ST, LANSING, MI 48912-4903
(517) 374-7022
(517) 374-7554
Mailing address
1000 N HOMER ST, LANSING, MI 48912-4903
(517) 374-7022
(517) 374-7554
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029042
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407394
—
MI
Enumeration date
08/22/2005
Last updated
10/02/2007
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