Individual
MICHAEL C SLACK
Active
Individual
MICHAEL C SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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