Individual
MRS. SOLFIA MEDINA SAULOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2870
(217) 464-1616
Mailing address
4075 COPPER RIDGE DR, TRAVERSE CITY, MI 49684-7059
(888) 632-0543
(231) 932-4204
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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