Doctor Name: | DR. PIERRE EDUARD SLIGHTAM |
NPI Number: | 1083823132 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 13452 |
Business Practice Address: | 229 Main St Wrightstown, WI - 54180 |
Business Phone Number: | 9205325080 |
Business Fax Number: | 9205324748 |
Mailing Address: | Po Box 98, 229 Main St WRIGHTSTOWN |
State: | WI |
Postal Code: | 54180 |
Phone Number: | 9205325080 |
Fax Number: | 9205324748 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |