| Salem Medical Services Pllc | |
|
2291 Lake Ridge Dr Grand Blanc MI 48439-7365 | |
| (734) 239-5830 | |
| Not Available |
| Full Name | Salem Medical Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2291 Lake Ridge Dr, Grand Blanc, Michigan |
| Authorized Official Name and Position | Lisa A Mudge (MANAGER) |
| Authorized Official Contact | 8104073182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Medical Services Pllc 2291 Lake Ridge Dr Grand Blanc MI 48439-7365 Ph: (734) 239-5830 | Salem Medical Services Pllc 2291 Lake Ridge Dr Grand Blanc MI 48439-7365 Ph: (734) 239-5830 |
| NPI Number | 1619689718 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 5496125742 |
|---|---|
| Medicare Enrollment ID | O20221230001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619689718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dhafer Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467855973 PECOS PAC ID: 8921356429 Enrollment ID: I20221230001380 |
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