1. Home
  2. Directory
  3. Wisconsin
  4. Waupaca
  5. Family Medicine
  6. NPI Profile

JERRY R SALAN MD
NPI 1295764363
Family Medicine in Waupaca, WI

Active since July 01, 2006
710 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry R Salan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY R SALAN MD (NPI 1295764363) is an individual family medicine provider in Waupaca, Wisconsin, licensed in Wisconsin (14059-020) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295764363
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJERRY R SALANCredential: MD
Location Address710 RIVERSIDE DRWaupaca, WI 54981-1941
Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3298
Phone(715) 258-1160
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295764363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 14059-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
710 RIVERSIDE DR, Waupaca, WI 54981
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB56250
Medicaid31229600WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT WILLIAM SEDLACEK M.D.
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3000
GABRIELLE ANN PATRI PA
Physician Assistant
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3000
ASHLEY TARDIEU MD
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3000
CARMEN L MILLER
Nurse Practitioner (Family)
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3000
BRADLEY KLEIN APNP
Nurse Practitioner (Family)
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3000
SARAH C DURST MD
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1160
DORRIE MARIE HAPP M.D.
Family Medicine
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3062
MICHELLE R OETKEN PA
Physician Assistant (Medical)
710 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-3062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Salan's NPI number?

The NPI number for Jerry Salan is 1295764363. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Jerry Salan located?

Jerry Salan practices at 710 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1160.

What is Jerry Salan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Salan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.