Individual
MR. JAMES JONATHAN SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2611 CHARLEVOIX AVE, PETOSKEY, MI 49770-8524
(231) 348-5900
(231) 348-5901
Mailing address
2611 CHARLEVOIX AVE, PETOSKEY, MI 49770-8524
(231) 348-5900
(231) 348-5901
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
5101015870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451601125
BCBS
MI
01
—
1356394803
NPI, NORTHWOODS ENT
MI
05
—
4832946-11
—
MI
Enumeration date
09/28/2007
Last updated
05/11/2012
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