Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTE K SLADICK, PA
ActivePhysician Assistant · DEARBORN, MI
Registration Details
- NPI Number
- 1588688147
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2006 (19.734889285504 yrs)
- Last Updated
- Oct 7, 2022
- Licenses
-
10112 (MN)5601005370 (MI)
Practice Information
- Address
-
18101 OAKWOOD BLVDTRAUMA SERVICESDEARBORN, MI, 481244089Browse MI providers · Browse ZIP 48124
- Phone
- 3139825440
- Fax
- 3139825445
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE L PLUMB | PA-C | 1982699872 |
| AUNDREA BURNS | — | 1831166735 |
| TIFFANY MICHELLE SAKHLEH | PA-C | 1952379984 |
| KELLY J GINGRAS | PA-C | 1972551935 |
| KELLI BEAUDOIN | PA | 1891725495 |
| MARGUERITE MARY OROSZ | PAC | 1982617874 |
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.