Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35056176 | OH |
NPI | 1013984145 |
---|---|
Provider Name | Michael G Saalouke |
First Address | Youngstown, OH 44504-1315 |
Second Address | Youngstown, OH 44504-1315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 26/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
686815 | (05) | OH |
B63993 | (02) |