Individual
R. BRUCE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46267
WI
207R00000X
Internal Medicine Physician
48267
WI
Other
Enumeration date
04/20/2006
Last updated
10/06/2009
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