IndividualActive
Mark Sloane, D.O.
NPI 1568558229 · Developmental - Behavioral Pediatrics Physician · Portage, MI
Provider details
- NPI number
- 1568558229
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5101008273 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
700 Mall Dr
Suite C
Portage, MI 49024-1800
Phone: (269) 373-1170
Fax: (269) 373-1154
Approximate (ZIP-level) locationGet directions
Mailing address
7604 Dunross Drive
Portage, MI 49024
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.