Individual
MR. MILES TODD SALSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
530 PARK AVE EAST, PRINCETON, IL 61356
(815) 875-2811
Mailing address
1011 PHEASANT RIDGE LN, PRINCETON, IL 61356-8616
(815) 872-1060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-004503
IL
Other
Enumeration date
10/11/2006
Last updated
12/31/2020
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