Individual
PHILIP SLETTELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(414) 351-0543
Mailing address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5424-154
WI
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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