Provider Demographics
NPI:1114242245
Name:SALAND, DAVID K (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:SALAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 MANCHESTER AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3800
Mailing Address - Country:US
Mailing Address - Phone:610-565-1045
Mailing Address - Fax:
Practice Address - Street 1:411 MANCHESTER AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3800
Practice Address - Country:US
Practice Address - Phone:610-565-1045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0004513207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery