Individual
DR. JOSE LUIS SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3220 N SHORE DR, DELAVAN, WI 53115-3800
(262) 728-0533
Mailing address
3220 N SHORE DR, DELAVAN, WI 53115-3800
(262) 728-0533
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036.045350
IL
Other
Enumeration date
07/26/2008
Last updated
07/26/2008
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