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NPI Code Detail

MEDICARE: SALY ARABO P.A.

MEDICARE: SALY ARABO P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601006653MI

General Provider Information

NPI Number : 1790123107
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALY ARABO P.A.
Provider Business Mailing Address
First Line : 23411 JOHN R RD
Second Line :
City : HAZEL PARK
State : MI
Zip : 48030-1404
Country : US
Telephone Number : 248-399-3912
Fax Number :
Provider Business Practice Location Address
First Line : 23411 JOHN R RD
Second Line :
City : HAZEL PARK
State : MI
Zip : 48030-1404
Country : US
Telephone Number : 248-399-3912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2013
Last Update Date : 01/22/2025

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Directions to “ SALY ARABO P.A.” Practice Location

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