Michael Slack, DO

NPI #1679006076 in Caldwell, Idaho

Provider Information

NPI Number: 1679006076
Entity Type: Individual
Name: Michael Slack, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 4, 2017
Last Updated: Feb 20, 2024

Practice Location

Address: 4815 CLEVELAND BLVD
City: Caldwell
State: Idaho
ZIP Code: 83605-6501
Phone: (208) 455-3545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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