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BLAKE M SLATER D O P C NPI 1578748315


NPI Information

NPI: 1578748315
Provider Name: BLAKE M SLATER D O P C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
391 EAST HIGHWAY M-134
POB 630
CEDARVILLE, MI
ZIP 49719
Phone: (906) 484-2295
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BLAKE M SLATER D O P C is a family medicine in Cedarville, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLAKE M SLATER D O P C NPI is 1578748315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

391 EAST HIGHWAY M-134
POB 630
CEDARVILLE, MI
ZIP 49719-630
Phone: (906) 484-2295
Fax: (906) 484-2614

The provider's authorized official is Blake M Slater .
The authorized official title is D O and has the following contact phone number (906) 484-2295.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 11/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine007998MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E25573MEDICARE UPINMICHIGAN
2507651MEDICARE UPINMICHIGAN
30P08230MEDICARE PINMICHIGAN
41779863MEDICAIDMICHIGAN
5P08230001MEDICARE PINMICHIGAN
6P08230002MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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