MEDICARE: DR. DONALD M SOLOMON DPM

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	213E00000X	Podiatrist	DS000554	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891880845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD M SOLOMON DPM

Provider Business Mailing Address
First Line	:	23423 RYAN
Second Line	:	DONALD SOLOMON DPM
City	:	WARREN
State	:	MI
Zip	:	48091-1927
Country	:	US
Telephone Number	:	586-755-0022
Fax Number	:	586-755-0066

Provider Business Practice Location Address
First Line	:	23423 RYAN
Second Line	:	DONALD SOLOMON DPM
City	:	WARREN
State	:	MI
Zip	:	48091-1927
Country	:	US
Telephone Number	:	586-755-0022
Fax Number	:	586-755-0066

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	08/30/2024

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Directions to “ DR. DONALD M SOLOMON DPM” Practice Location

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