Basic Information
| Provider Information | |||||||||
| NPI: | 1225088339 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAVALIERE | ||||||||
| FirstName: | SALVATORE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4385 BENNETT PARK CIR | ||||||||
| Address2: | |||||||||
| City: | TROY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480855729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862421415 | ||||||||
| FaxNumber: | 5867256842 | ||||||||
| Practice Location | |||||||||
| Address1: | 6071 W OUTER DRIVE 7/EAST | ||||||||
| Address2: | SELECT SPECIALITY HOSPITAL | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482352624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3139663300 | ||||||||
| FaxNumber: | 2486515053 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | SC011226 | MI | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.