Provider Demographics
NPI:1437220100
Name:SLOMINSKI, ARNOLD A (PT)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:A
Last Name:SLOMINSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54714 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042
Mailing Address - Country:US
Mailing Address - Phone:586-786-7574
Mailing Address - Fax:586-786-1308
Practice Address - Street 1:28200 JOHN R RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2814
Practice Address - Country:US
Practice Address - Phone:248-399-1060
Practice Address - Fax:248-399-3848
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI005827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI65OF357640OtherBCBS
MION33290Medicare ID - Type Unspecified