Organization Name: | V. STEPHEN SLANA , M.D.,S.C. |
NPI Number: | 1295887321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR STEPHEN SLANA (PRESIDENT) |
Mailing Address: | 6125 Green Bay Rd Suite 800 Kenosha |
State: | WI US |
Postal Code: | 531422928 |
Phone Number: | 2626540726 |
Fax Number: | 2626544365 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |