Provider Demographics
NPI:1447235346
Name:SLOIN, MARVIN M (DO)
Entity Type:Individual
Prefix:
First Name:MARVIN
Middle Name:M
Last Name:SLOIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9540 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7513
Mailing Address - Country:US
Mailing Address - Phone:239-992-9884
Mailing Address - Fax:239-992-9884
Practice Address - Street 1:9540 CEDAR CREEK DR
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-7513
Practice Address - Country:US
Practice Address - Phone:239-992-9884
Practice Address - Fax:239-992-9884
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO31198207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO248189417Medicaid
MO248189417Medicaid
MOD89734Medicare UPIN