Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301114741 | MI |
N | 111NI0900X | Internist | 4301114741 | MI |
Y | 207RG0300X | Geriatric Medicine | 4301114741 | MI |
NPI | 1003307034 |
---|---|
Provider Name | Katherine Salisbury |
First Address | Royal Oak, MI 48073-6712 |
Second Address | Royal Oak, MI 48073-6712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2018 |
Last Update Date | 03/06/2021 |