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Individual
JAY MATTHEW SALMON
Active
Individual
JAY MATTHEW SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61905-20
WI
208M00000X
Hospitalist Physician
Primary
61905-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033485040
—
WI
Enumeration date
03/25/2012
Last updated
11/18/2021
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