Individual
SUSAN MICHELLE SALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 832-0900
(989) 633-0349
Mailing address
301 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 832-0900
(989) 633-0349
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301073809
MI
Other
Enumeration date
04/26/2006
Last updated
05/06/2013
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