Individual
STEPHEN SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W LINCOLN ST, DCI HEALTH SERVICES, WAUPUN, WI 53963-1949
(920) 324-5577
Mailing address
1 WEST LINCOLN STREET, DCI HEALTH SERVICES, WAUPUN, WI 53963
(920) 324-5577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37585
WI
207Q00000X
Family Medicine Physician
42086
MN
Other
Enumeration date
08/11/2006
Last updated
11/20/2007
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