Most Relevant Information
Provider Data
| NPI Number: | 1003568387 |
| Provider Name: | KRYSTEN SLADEWSKI RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704261224 |
Most Important Dates
| Enumeration Date: | 01/19/2022 |
| Last Updated: | 01/19/2022 |
Provider Practice Location
49634 S GLACIER
NORTHVILLE
MI
481686828
Practice Location Phone/Fax
| Phone: | 7348125331 |
| Fax: |
Provider Mailing Location
49634 S GLACIER
NORTHVILLE
MI
481686828
Provider Mailing Phone/Fax
| Phone: | 7348125331 |
| Fax: |