Organization
SLATER SURGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED M SLATER MD (OWNER)
(507) 244-1363
Entity
Organization
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-3111
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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