IndividualActive
Jacob Slominski
NPI 1083317259 · Vascular & Interventional Radiology Physician · Detroit, MI
Provider details
- NPI number
- 1083317259
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4351052825 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Approximate (ZIP-level) locationGet directions
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2024-04-15
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.