DR. MICHAEL WALLIS, M.D.

Urology

Active Individual
NPI: 1558384388

Practice Address

100 MARIO CAPECCHI DR
Salt Lake City, UT 84113

Phone: (801) 662-5555

Specialties

Specialty Code Primary License
Urology - Pediatric Urology 2088P0231X No M-13870 (ID)
Urology 208800000X Yes 6078212-1205 (UT)

Frequently Asked Questions

NPI 1558384388 is the National Provider Identifier for DR. MICHAEL WALLIS, M.D., a Urology provider located in Salt Lake City, UT. This NPI was enumerated on July 25, 2006.
DR. MICHAEL WALLIS, M.D. practices at 100 MARIO CAPECCHI DR, Salt Lake City, UT 84113.

Quick Facts

NPI
1558384388
Type
Individual
Enumerated
Jul 25, 2006
Last Updated
Dec 16, 2021

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