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Individual

VICTOR STEPHEN SLANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6125 GREEN BAY RD, STE 800, KENOSHA, WI 53142-2928
(262) 654-0726
(262) 654-4365
Mailing address
6125 GREEN BAY RD, SUITE 800, KENOSHA, WI 53142-2928
(262) 654-0726
(262) 654-4365

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036082657
IL
207W00000X
Ophthalmology Physician
Primary
32916
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31792900
WI
Enumeration date
02/23/2006
Last updated
11/18/2013
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