Individual
MICHAEL C SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, N5W70C, BALTIMORE, MD 21201-1544
(410) 328-2427
(443) 462-3137
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
D55380
MD
2080P0202X
Pediatric Cardiology Physician
MD31860
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028095100
—
DC
01
—
0614
CAREFIRST
DC
05
—
202009200
—
MD
05
—
202009201
—
MD
05
—
6731538
—
VA
Enumeration date
10/02/2006
Last updated
01/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us