Individual
MARK SALEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 403, MUNCIE, IN 47303-3409
(412) 647-6485
Mailing address
1200 W WHITE RIVER BLVD STE 403, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01069298A
IN
208600000X
Surgery Physician
MD417200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01168518
RAILROAD MEDICARE
IN
05
—
PENDING
—
IN
Enumeration date
06/10/2007
Last updated
02/19/2021
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