Provider Demographics
NPI:1295873388
Name:SLOCUM, NICKLAUS KARWAS (MD)
Entity type:Individual
Prefix:DR
First Name:NICKLAUS
Middle Name:KARWAS
Last Name:SLOCUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1105 SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2345
Mailing Address - Country:US
Mailing Address - Phone:231-935-5000
Mailing Address - Fax:
Practice Address - Street 1:1200 SIXTH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2369
Practice Address - Country:US
Practice Address - Phone:231-935-5800
Practice Address - Fax:231-935-5799
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2025-08-11
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Provider Licenses
StateLicense IDTaxonomies
MI4301084019207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3686020Medicare PIN