Individual provider · Type 1 NPI

Michael Slack, DO

Family Medicine Physician · Caldwell, ID

NPI number 1679006076 Active

Practice location

4815 Cleveland Blvd
Caldwell, ID 83605-6501

Fax (208) 454-9690

Mailing address

5111 N Travis St Apt 221
Sherman, TX 75092-4073

Other practice locations

  • 5016 N US Hwy 75, Denison, TX 75020 · (903) 416-4000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XO-1447 (ID)
Family Medicine Physician 207Q00000XS3590 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1679006076

Michael Slack, DO's National Provider Identifier is 1679006076, issued on Apr 4, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Caldwell, ID. The record was last updated on Feb 20, 2024.