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Michael Slack, DO
NPI 1679006076 · on the registry since 2017
Practice
- Address
- 4815 Cleveland Blvd
Caldwell, ID 83605 - Phone
- (208) 455-3545
- Fax
- (208) 454-9690
- Organisation at this address
- Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 5016 N Us Hwy 75, Denison, TX
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- ID, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho