Individual
DR. MICHAEL P SALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2349
(231) 947-0673
(801) 740-2847
Mailing address
PO BOX 107, TRAVERSE CITY, MI 49685-0107
(231) 947-0673
(801) 740-2847
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301072393
MI
207R00000X
Internal Medicine Physician
Primary
4301072393
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4326511
—
MI
01
—
MS072393
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/14/2005
Last updated
10/19/2020
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