Most Relevant Information
Provider Data
| NPI Number: | 1003832908 |
| Provider Name: | DONALD ROBERT SALMON PA C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 5601003054 |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
955 S BAILEY AVE FL 2
SOUTH HAVEN
MI
490906743
Practice Location Phone/Fax
| Phone: | 2696392777 |
| Fax: |
Provider Mailing Location
PO BOX 566
PORTAGE
MI
49081
Provider Mailing Phone/Fax
| Phone: | 6169751845 |
| Fax: | 6169751870 |