Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 52983 | WI |
NPI | 1033373600 |
---|---|
Provider Name | Dr. Douglas Francis Salm |
First Address | Appleton, WI 54914-8872 |
Second Address | Appleton, WI 54914-8872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 26/03/2013 |