Individual
MICHAEL SLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2610
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-2610
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD25987
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6726101
—
VA
Enumeration date
10/17/2006
Last updated
07/08/2007
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