Organization
STEPHEN SLAJUS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C SLAJUS DO (PRESIDENT)
(906) 779-9870
Entity
Organization
Contact information
Practice address
1711 S STEPHENSON AVE, SUITE 100, IRON MOUNTAIN, MI 49801-3639
(906) 779-9870
(906) 779-5888
Mailing address
1711 S STEPHENSON AVE, SUITE 100, IRON MOUNTAIN, MI 49801-3639
(906) 779-9870
(906) 779-5888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101009759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205220004
BLUE CROSS MICHIGAN
MI
05
—
30052700
—
WI
05
—
3011680
—
MI
Enumeration date
11/11/2010
Last updated
12/06/2010
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