| Blake M Slater D O P C | |
|
391 East Highway M-134 Pob 630 Cedarville MI 49719-0630 | |
| (906) 484-2295 | |
| (906) 484-2614 |
| Full Name | Blake M Slater D O P C |
|---|---|
| Speciality | Family Medicine |
| Location | 391 East Highway M-134, Cedarville, Michigan |
| Authorized Official Name and Position | Blake M Slater (D O) |
| Authorized Official Contact | 9064842295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake M Slater D O P C Po Box 630 Cedarville MI 49719-0630 Ph: () - | Blake M Slater D O P C 391 East Highway M-134 Pob 630 Cedarville MI 49719-0630 Ph: (906) 484-2295 |
| NPI Number | 1578748315 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578748315 | NPI | - | NPPES |
| 1779863 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 007998 (Michigan) | Primary |
Mymichigan Primary Care Cedarville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 391 E M 134, Cedarville, MI 49719 Phone: 906-484-2614 |