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Jack Slagis, MD
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1043919921

Jack Slagis is a Student in an Organized Health Care Education/Training Program based in Warren, MI. Jack Slagis practices in Warren, MI and has the professional credentials of MD. The NPI Number for Jack Slagis is 1043919921 and holds a License No. (Michigan).

The current practice location address for Jack Slagis is 11885 E 12 Mile Rd, Warren, MI and can be reached out via phone at 586-582-6631.

Location: 11885 E 12 Mile Rd, Warren, MI, 48093-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043919921
Provider Name
Jack Slagis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11885 E 12 Mile Rd, Warren, MI, 48093-3467
Phone Number
586-582-6631
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11885 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3474
Phone Number
586-582-6631
Fax Number
person
Provider Business Mailing Address Details
Address
11885 E 12 Mile Rd
City
Warren
State
Michigan
Zip
48093-3474
Phone Number
586-582-6631
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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