Provider Demographics
NPI:1114954880
Name:SALMAN, WAEL J (MD)
Entity Type:Individual
Prefix:
First Name:WAEL
Middle Name:J
Last Name:SALMAN
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 1:300 HEALTH PARK DR STE 304
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-1293
Mailing Address - Country:US
Mailing Address - Phone:989-729-4222
Mailing Address - Fax:989-729-4968
Practice Address - Street 1:300 HEALTH PARK DR.
Practice Address - Street 2:SUITE 304
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867
Practice Address - Country:US
Practice Address - Phone:989-729-4222
Practice Address - Fax:989-729-4968
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4467752Medicaid
MI110244715Medicare PIN
MIP16970002Medicare PIN
MI4467752Medicaid