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MICHAEL SALCEDO DPM NPI 1295753267


NPI Information

NPI: 1295753267
Provider Name: MICHAEL SALCEDO DPM

Other Name: UNIVERSITY PARK PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3665 PARK PL W
SUITE 200
MISHAWAKA, IN
ZIP 46545
Phone: (574) 271-1030
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MICHAEL SALCEDO DPM is a foot and ankle surgery podiatrist in Mishawaka, IN. MICHAEL SALCEDO DPM NPI is 1295753267. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is University Park Podiatry.

The provider's business location address is:

3665 PARK PL W
SUITE 200
MISHAWAKA, IN
ZIP 46545-566
Phone: (574) 271-1030
Fax: (574) 271-1032

The provider's authorized official is Michael Salcedo .
The authorized official title is Owner and has the following contact phone number (574) 271-1030.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 12/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist07000626AINDIANANo
2213ES0103XPodiatristFoot & Ankle Surgery07000626AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1189600MEDICARE PIN
20435320001MEDICARE NSC
3200425560AMEDICAIDINDIANA
4T86623MEDICARE UPININDIANA
51528065059OTHERNPI DR SALCEDO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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