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Contact Information

JEREMY SALLER, M.D.
1110 KEPLER DR
GREEN BAY, WI54311-8306
 Phone: 920-288-5555
 Fax: 920-288-5550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEREMY SALLER · (Male)

NPI # 1811150683
Status Active
Credentials M.D.
Entity Individual
Enumeration date 07/02/2008
Last updated 05/19/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • SC License # 82430
  • TX License # BP10031380
  • VA License # 0101256117
  • WI License # 81522
Hospital affiliation(s)
  • LEXINGTON MEDICAL CENTER - (Acute Care)
    2720 SUNSET BLVD
    WEST COLUMBIA, SC 29169
  • SISTERS OF CHARITY PROVIDENCE HOSPITALS - (Acute Care)
    2435 FOREST DR
    COLUMBIA, SC 29204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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