Provider Demographics
NPI:1700333226
Name:SALACIENSKI, MARY KATHERINE (PA-C)
Entity Type:Individual
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First Name:MARY
Middle Name:KATHERINE
Last Name:SALACIENSKI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:18101 LORAIN AVENUE CLEVELAND CLINIC - FAIRVIEW HOSPITA
Mailing Address - Street 2:EMERGENCY SERVICES
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5612
Mailing Address - Country:US
Mailing Address - Phone:216-476-7312
Mailing Address - Fax:
Practice Address - Street 1:18101 LORAIN AVENUE CLEVELAND CLINIC - FAIRVIEW HOSPITA
Practice Address - Street 2:EMERGENCY SERVICES
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5612
Practice Address - Country:US
Practice Address - Phone:216-476-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2020-07-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant