Individual
GARY SHELDON SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13137 N CLIO RD, CLIO, MI 48420-1028
(313) 590-9170
(844) 274-3091
Mailing address
PO BOX 585, OXFORD, MI 48371-0585
(810) 219-8550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101008983
MI
208M00000X
Hospitalist Physician
5101008983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D40045
BCBSM
MI
01
—
1205839909
NPI
MI
05
—
4846709
—
MI
Enumeration date
05/27/2005
Last updated
06/13/2022
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