Provider Demographics
NPI:1033265236
Name:SALOPEK, MAUREEN PATRICE (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:PATRICE
Last Name:SALOPEK
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:MAUREEN
Other - Middle Name:SALOPEK
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2345 PLACID WAY
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-1295
Mailing Address - Country:US
Mailing Address - Phone:734-646-9117
Mailing Address - Fax:
Practice Address - Street 1:1235 INDUSTRIAL DR STE 4
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1742
Practice Address - Country:US
Practice Address - Phone:734-944-8300
Practice Address - Fax:734-944-8303
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010729942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4150300Medicaid