Individual
PAUL J SLAVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20442-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000292
PHYSICIANS PLUS
WI
05
—
30108100
—
WI
01
—
339
DEAN HEALTH INSURANCE
WI
Enumeration date
05/03/2006
Last updated
05/05/2008
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