Healthcare Provider Details

I. General information

NPI: 1245203173
Provider Name (Legal Business Name): ANN M SALUKE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 04/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 DUNORE RD
CINCINNATI OH
45220-1416
US

IV. Provider business mailing address

815 DUNORE RD
CINCINNATI OH
45220-1416
US

V. Phone/Fax

Practice location:
  • Phone: 513-325-4000
  • Fax:
Mailing address:
  • Phone: 513-325-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35046856
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: