Healthcare Provider Details

I. General information

NPI: 1730541848
Provider Name (Legal Business Name): SHAYLA LYNN SALGADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAYLA LYNN MURRAY

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WOODLAND DR
SALINE MI
48176-1620
US

IV. Provider business mailing address

3621 S STATE ST
ANN ARBOR MI
48108-1633
US

V. Phone/Fax

Practice location:
  • Phone: 734-539-5080
  • Fax:
Mailing address:
  • Phone: 734-647-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101263395
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101263395
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301508594
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: