Michael Dewayne Slade
Michael Dewayne Slade is an Other Technician in Norfolk, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
300 E Main St Ste 1000 Uscg Maintenance And Logistics Command AtlantiNorfolk, VA 23510
Phone: (757) 628-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1407946965 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1008 Bennington Cir, Virginia Beach, VA 23464-3725 |
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