Individual
JAY MATTHEW SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
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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