Dr. Michael Slack, DO
Family Medicine
NPI: 1679006076 Idaho
70/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice9/15
9 years
Data Freshness6/10
Updated 862 days ago
License Status
TexasActive
License #
S3590
Issued
Sep 13, 2019
Expires
Nov 30, 2026
Practice Information
- Address
- 4815 CLEVELAND BLVD
- CALDWELL, ID 83605
- Phone
- (208) 455-3545
- In Practice Since
- April 4, 2017
- Data Last Updated
- February 20, 2024
NPI Details
- NPI Number
- 1679006076
- Status
- Active
- Taxonomy Code
- 207Q00000X
Data sourced from CMS NPPES public database. Last verified: February 20, 2024.
Report an error