Individual
MICHAEL SALCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000626A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090940
—
IN
Enumeration date
06/30/2005
Last updated
06/04/2021
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