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Contact Information

MICHAEL J SLIMACK, DO
7401 104TH AVE
SUITE 110
KENOSHA, WI53142-7845
 Phone: 262-764-5595
 Fax: 262-764-9314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL J SLIMACK · (Male)

NPI # 1356558464
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/17/2007
Last updated 03/18/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 58000956
  • WI License # 51760
  • WI Medicaid 37580900
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
  • UNITED HSPTL SYS - (Acute Care)
    6308 EIGHTH AVE
    KENOSHA, WI 53143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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