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NPI Code Detail

MEDICARE: ERBAY SALIEVSKI PA

MEDICARE: ERBAY SALIEVSKI PA
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 Assistant085008019IL

General Provider Information

NPI Number : 1588284178
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERBAY SALIEVSKI PA
Provider Business Mailing Address
First Line : 10001 W INNOVATION DR STE 200
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4851
Country : US
Telephone Number : 888-938-3838
Fax Number :
Provider Business Practice Location Address
First Line : 984 WILLOW RD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-6821
Country : US
Telephone Number : 888-938-3838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2020
Last Update Date : 01/20/2022

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Directions to “ ERBAY SALIEVSKI PA” Practice Location

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