Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 5901000637 | MI |
NPI | 1073518866 |
---|---|
Provider Name | Dr. Michael Stewart Salter |
First Address | Rochester Hills, MI 48309-1768 |
Second Address | Rochester Hills, MI 48309-1768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 17/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10583840 | (05) | MI |
T34226 | (02) | MI |