Individual
MINA A SALIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55489
WI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2020-02590
NC
2080P0203X
Pediatric Critical Care Medicine Physician
55489
WI
2080P0203X
Pediatric Critical Care Medicine Physician
MD-43273
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528365277
—
IA
05
—
1528365277
—
WI
Enumeration date
02/15/2011
Last updated
06/03/2020
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