Healthcare Provider Details

I. General information

NPI: 1336066364
Provider Name (Legal Business Name): CYNTHIA SUANNE SLUMKOSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12737 6 MILE RD
BATTLE CREEK MI
49014-8368
US

IV. Provider business mailing address

12737 6 MILE RD
BATTLE CREEK MI
49014-8368
US

V. Phone/Fax

Practice location:
  • Phone: 269-282-7212
  • Fax: 269-979-7754
Mailing address:
  • Phone: 269-282-7212
  • Fax: 269-979-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3502004567
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: