Individual
DR. MARY SUSANNA SALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
514 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 766-9281
Mailing address
PO BOX 1155, BEMIDJI, MN 56619-1155
(218) 766-9281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36411
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57G72SA
BCBS
MN
Enumeration date
08/23/2006
Last updated
08/25/2016
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