Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN CORWIN SLACK, MD
ActiveJONATHAN CORWIN SLACK, MD is a Pediatric Pathology healthcare provider located in CLEVELAND, Ohio. NPI 1487226387 is currently active in the NPPES registry. Verify at CMS.
Pediatric Pathology · CLEVELAND, OH
Registration Details
- NPI Number
- 1487226387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2021 (5.1100256806332 yrs)
- Last Updated
- Mar 11, 2023
- License
-
287182 (MA)
Practice Information
- Address
-
9500 EUCLID AVE L2OFFICE 216CLEVELAND, OH, 44195Browse OH providers · Browse ZIP 44195
- Phone
- 2164484899
- Primary Specialty
-
Pediatric Pathology
207ZP0213X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.