Individual
VANESSA ELENE SLOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
(651) 471-5801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14786
NV
208000000X
Pediatrics Physician
Primary
72987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12516011
CAQH
—
05
—
1740506203
—
NV
Enumeration date
04/08/2010
Last updated
05/05/2023
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