Individual
DR. NANCY A. SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6079 W MAPLE RD, SUITE 110, WEST BLOOMFIELD, MI 48322-2283
(248) 325-9615
(248) 325-9613
Mailing address
6079 W MAPLE RD, SUITE 110, WEST BLOOMFIELD, MI 48322-2283
(248) 325-9615
(248) 325-9613
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301074072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4573559
—
MI
01
—
5315008550
CONTROLLED SUBSTANCE
—
Enumeration date
12/20/2005
Last updated
11/11/2011
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