Individual
GARY M SALMELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 SOUTH, SOUDAN, MN 55782-0392
(218) 753-6310
Mailing address
26 SOUTH, PO BOX 392, SOUDAN, MN 55782-0392
(218) 753-6310
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59682-000373092-00
MEDICA
MN
01
—
59682-001304996-00
MEDICA
MN
Enumeration date
05/12/2009
Last updated
05/12/2009
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