| Gary Salem, D.o., Pc | |
|
13137 N Clio Rd Clio MI 48420-1028 | |
| (810) 686-2600 | |
| Not Available |
| Full Name | Gary Salem, D.o., Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13137 N Clio Rd, Clio, Michigan |
| Authorized Official Name and Position | Gary S Salem (PRESIDENT) |
| Authorized Official Contact | 3135909170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Salem, D.o., Pc Po Box 343 Grand Blanc MI 48480-0343 Ph: (313) 590-9170 | Gary Salem, D.o., Pc 13137 N Clio Rd Clio MI 48420-1028 Ph: (810) 686-2600 |
| NPI Number | 1841522018 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 8123144631 |
|---|---|
| Medicare Enrollment ID | O20100921001493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841522018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101008983 (Michigan) | Primary |
| Provider Name | Gary S Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205839909 PECOS PAC ID: 1254243785 Enrollment ID: I20051108000095 |
| Provider Name | Shai M Brosh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417289125 PECOS PAC ID: 2365573946 Enrollment ID: I20100625000259 |
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