Individual
MR. MICHAEL JAMES SLOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
506 COMANCHE ST, COLUMBUS, NE 68601-8228
(402) 610-4634
(402) 562-3334
Mailing address
506 COMANCHE ST, COLUMBUS, NE 68601-8228
(402) 610-4634
(402) 562-3334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
213
NE
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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