Individual
IYAD A SALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(800) 362-9567
(608) 775-6758
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(800) 362-9567
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43407700
—
WI
Enumeration date
06/14/2005
Last updated
04/29/2013
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