Individual
MARTIN ERNST SALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
276 KINGSBURY GRADE, SUITE 101, STATELINE, NV 89449-5910
(775) 588-5000
(775) 588-5001
Mailing address
PO BOX 5910, STATELINE, NV 89449-5910
(775) 588-5000
(775) 588-5001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6357
NV
207ND0101X
MOHS-Micrographic Surgery Physician
6357
NV
207ND0900X
Dermatopathology Physician
6357
NV
207NS0135X
Procedural Dermatology Physician
6357
NV
Other
Enumeration date
09/13/2007
Last updated
09/01/2010
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