Individual
JOSE MANUEL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 776-8000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704191742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305403210
—
MI
Enumeration date
03/20/2007
Last updated
06/23/2010
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