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Individual

DR. PETER A SLOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2350 N LAKE DR, SUITE 306, MILWAUKEE, WI 53211-4528
(414) 298-7106
(414) 298-7195
Mailing address
788 N JEFFERSON ST, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3718
(414) 272-8950
(414) 272-0859

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29305
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891788113
WI
Enumeration date
08/23/2005
Last updated
11/09/2016
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