Doctor Name: | DR. SALEM MICHAEL GEORGE |
NPI Number: | 1003805953 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 24149 |
Business Practice Address: | 4003 Kresge Way Suite 100 Louisville, KY - 402074652 |
Business Phone Number: | 5028975139 |
Business Fax Number: | 5028966218 |
Mailing Address: | 4003 Kresge Way, Suite 100 LOUISVILLE |
State: | KY |
Postal Code: | 402074652 |
Phone Number: | 5028975139 |
Fax Number: | 5028966218 |
NPI Enumeration Date: | 10/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 24149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |