Organization
MICHAEL SALCEDO DPM
Active
Other names
University Park Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SALCEDO DPM (OWNER)
(574) 271-1030
Entity
Organization
Contact information
Practice address
3665 PARK PL W, SUITE 200, MISHAWAKA, IN 46545-3566
(574) 271-1030
(574) 271-1032
Mailing address
3665 PARK PL W, SUITE 200, MISHAWAKA, IN 46545-3566
(574) 271-1030
(574) 271-1032
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07000626A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000626A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528065059
NPI DR SALCEDO
—
05
—
200425560A
—
IN
Enumeration date
07/18/2006
Last updated
12/11/2012
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