# MICHAEL SALCEDO DPM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Park Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295753267
- **Authorized official:** DR. MICHAEL SALCEDO DPM (OWNER)
- **Authorized official phone:** (574) 271-1030

## Contact information

- **Practice address:** 3665 PARK PL W, SUITE 200, MISHAWAKA, IN 46545-3566
- **Practice address phone:** (574) 271-1030
- **Practice address fax:** (574) 271-1032
- **Mailing address:** 3665 PARK PL W, SUITE 200, MISHAWAKA, IN 46545-3566
- **Mailing address phone:** (574) 271-1030
- **Mailing address fax:** (574) 271-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 07000626A | IN | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 07000626A | IN | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 12/11/2012