Individual
TAREK A. SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-5200
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-5200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
74222
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095750A
—
KS
01
—
P00425832
RR MEDICARE
KS
Enumeration date
07/12/2006
Last updated
07/13/2023
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