Mary S. Salter, Md Psc | |
514 Beltrami Ave Nw Suite 102 Bemidji MN 56601 | |
(218) 444-7172 | |
(888) 375-3627 |
Full Name | Mary S. Salter, Md Psc |
---|---|
Speciality | Internal Medicine |
Location | 514 Beltrami Ave Nw Suite 102, Bemidji, Minnesota |
Authorized Official Name and Position | Mary S. Salter (PHYSICIAN) |
Authorized Official Contact | 2187669281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mary S. Salter, Md Psc P.o. Box 1155 Bemidji MN 56601 Ph: (218) 766-9281 | Mary S. Salter, Md Psc 514 Beltrami Ave Nw Suite 102 Bemidji MN 56601 Ph: (218) 444-7172 |
NPI Number | 1255717617 |
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Provider Enumeration Date | 08/07/2015 |
Last Update Date | 12/07/2018 |
Medicare PECOS PAC ID | 4789993767 |
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Medicare Enrollment ID | O20151013001514 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255717617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36411 (Minnesota) | Primary |
Provider Name | Mary S Salter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093821621 PECOS PAC ID: 7113119421 Enrollment ID: I20151013001684 |
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