Basic Information
Provider Information
NPI: 1376287284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALIM
FirstName: ARMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4000 WELLNESS DRIVE
Address2: MIDLAND MALL
City: MIDLAND
State: MI
PostalCode: 48670
CountryCode: US
TelephoneNumber: 8448321956
FaxNumber:  
Practice Location
Address1: 4611 CAMPUS RIDGE DR
Address2:  
City: MIDLAND
State: MI
PostalCode: 486409533
CountryCode: US
TelephoneNumber: 8448321956
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/26/2022
LastUpdateDate: 04/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X5151015497MIY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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