Provider Demographics
NPI:1902300833
Name:SALEH, JASMINE S (MD)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:S
Last Name:SALEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2720 FAIRVIEW AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1306
Mailing Address - Country:US
Mailing Address - Phone:651-633-6883
Mailing Address - Fax:651-331-3459
Practice Address - Street 1:2720 FAIRVIEW AVE N STE 200
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1306
Practice Address - Country:US
Practice Address - Phone:651-633-6883
Practice Address - Fax:651-331-3459
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3963-320207ZD0900X
MN73889207ZD0900X
MI4301505773207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology