Individual
DR. HENRIK SLOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 TAMARACK RD, WOODBURY, MN 55125-3609
(651) 471-5800
Mailing address
9900 TAMARACK RD, WOODBURY, MN 55125-3609
(651) 471-5800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14785
NV
207Q00000X
Family Medicine Physician
Primary
72986
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12515987
CAQH
—
05
—
1679899892
—
NV
Enumeration date
04/13/2010
Last updated
05/10/2023
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