Individual
JARED SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
4401 N CAMPUS RDG DR STE D2000, MIDLAND, MI 48640-6195
(989) 837-9280
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001560
MI
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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