Individual
MR. ERIC SAGE SALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C
Contact information
Practice address
1835 COUNTY ROAD C W STE 150, ROSEVILLE, MN 55113-1343
(651) 430-3800
(651) 430-3827
Mailing address
1950 NORTHWESTERN AVE S, STE 102, STILLWATER, MN 55082-7615
(651) 430-3800
(651) 241-7272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00062701
WI
363A00000X
Physician Assistant
Primary
00062924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119751
MEDICA
MN
01
—
1022092
AMERICAS PPO
MN
01
—
1023774
PREFERRED ONE
MN
01
—
129779
UCARE
MN
05
—
42994400
—
WI
01
—
56B10SA
BLUE CROSS & BLUE SHIELD
MN
05
—
801634800
—
MN
01
—
970000766
RR MEDICARE
MN
01
—
HP30663
HEALTHPARTNERS
MN
Enumeration date
06/22/2006
Last updated
05/05/2021
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