Individual
CHARLES WALTER SALETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S WEBSTER AVE, GREEN BAY, WI 54301-3508
(920) 496-4700
(920) 272-1152
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 272-1152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43891
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34154800
—
WI
Enumeration date
07/17/2006
Last updated
08/13/2008
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