Most Relevant Information
Provider Data
| NPI Number: | 1003035445 |
| Provider Name: | BYRON OTONIEL SALGUERO MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 00000000 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 02/17/2012 |
Provider Practice Location
4230 CHAMINADE ST SW
GRANDVILLE
MI
494182590
Practice Location Phone/Fax
| Phone: | 6165109027 |
| Fax: |
Provider Mailing Location
4230 CHAMINADE ST SW
GRANDVILLE
MI
494182590
Provider Mailing Phone/Fax
| Phone: | 6165109027 |
| Fax: |