Basic Information
Provider Information
NPI: 1932357878
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLEET
FirstName: MICHAEL
MiddleName: CAMERON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1086 FRANKLIN ST
Address2:  
City: JOHNSTOWN
State: PA
PostalCode: 159054305
CountryCode: US
TelephoneNumber: 8145341650
FaxNumber:  
Practice Location
Address1: DLP CONEMAUGH MEMORIAL HOSPITAL
Address2: 1086 FRANKLIN STREET
City: JOHNSTOWN
State: PA
PostalCode: 15905
CountryCode: US
TelephoneNumber: 8145341650
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/04/2008
LastUpdateDate: 11/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD447144PAN Allopathic & Osteopathic PhysiciansSurgery 
2086S0127X447144PAY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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