Provider Demographics
NPI:1255505061
Name:SLAGLE, MICHELLE LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:LEIGH
Last Name:SLAGLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45637 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-6214
Mailing Address - Country:US
Mailing Address - Phone:586-991-6471
Mailing Address - Fax:586-991-6478
Practice Address - Street 1:45637 HAYES RD
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-6214
Practice Address - Country:US
Practice Address - Phone:586-991-6471
Practice Address - Fax:586-991-6478
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL624025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor