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NPI Code Detail

MEDICARE: PAUL E. SALEM MD

MEDICARE: PAUL E. SALEM MD
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
1208600000XSurgery Physician81236MN
2208600000XSurgery Physician292545MA

General Provider Information

NPI Number : 1831621002
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL E. SALEM MD
Provider Business Mailing Address
First Line : 806 14TH AVE SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-2077
Country : US
Telephone Number : 202-352-5697
Fax Number :
Provider Business Practice Location Address
First Line : 1650 4TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-4717
Country : US
Telephone Number : 507-529-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 02/06/2026

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