Individual
DR. JEREMY SALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 KEPLER DR, GREEN BAY, WI 54311-8306
(920) 288-5555
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101256117
VA
207X00000X
Orthopaedic Surgery Physician
Primary
81522
WI
207XP3100X
Pediatric Orthopaedic Surgery Physician
0101256117
VA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
82430
SC
390200000X
Student in an Organized Health Care Education/Training Program
BP10031380
TX
Other
Enumeration date
07/02/2008
Last updated
06/27/2023
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