Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 13391 | CA |
Y | 213ER0200X | Radiology | 13391 | CA |
NPI | 1346467156 |
---|---|
Provider Name | Dr. Michael Anthony Sladich |
First Address | Bakersfield, CA 93302-0731 |
Second Address | Bakersfield, CA 93301-3708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 08/07/2007 |