Individual
DR. MICHAEL EDGAR SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 653-6741
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C40302
CA
207P00000X
Emergency Medicine Physician
Primary
F1962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C403020
—
CA
05
—
034536504
—
TX
Enumeration date
01/31/2006
Last updated
08/08/2013
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