Slater Surgical, LLC

Organization Active NPI Surgery Physician · Granite Falls, MN

NPI 1881933141 · NPPES record last updated Feb 6, 2013

Key facts

NPI
1881933141
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
SLATER SURGICAL, LLC
Practice address
345 10TH Ave
Granite Falls, MN 56241-1442
Phone
(320) 564-3111
Fax
(952) 442-3620
NPI assigned
Feb 6, 2013
Organization subpart
No

Authorized official

Name
Jared M Slater, MD
Title
Owner
Phone
(507) 244-1363

National Provider Directory

Locations

717 S State St
Ste 800
Fairmont, MN 56031
Phone (507) 238-4968

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

345 10TH Ave
Granite Falls, MN 56241-1442

Mailing address

400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770

Other providers in Granite Falls, MN

All providers in Granite Falls, MN · Surgery Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.