MEDICARE: KATELYN SALTARELLI PA-C

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
1	363A00000X	Physician Assistant	5601005634	MI

General Provider Information

NPI Number	:	1871827956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN SALTARELLI PA-C

Provider Business Mailing Address
First Line	:	1970 ASHLAND DR
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-1219
Country	:	US
Telephone Number	:	989-772-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 ASHLAND DR
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-1219
Country	:	US
Telephone Number	:	989-772-1500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	09/10/2012

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Directions to “ KATELYN SALTARELLI PA-C” Practice Location

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