Stephen Slattery

NPI #1801807938 in Waupun, Wisconsin

Provider Information

NPI Number: 1801807938
Entity Type: Individual
Name: Stephen Slattery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Aug 11, 2006
Last Updated: Nov 20, 2007

Practice Location

Address: 1 W LINCOLN ST
Address 2: DCI HEALTH SERVICES
City: Waupun
State: Wisconsin
ZIP Code: 53963-1949
Phone: (920) 324-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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