DR. Michael C. Wallis, M.D.

NPI #1558384388 in Salt Lake City, Utah

Provider Information

NPI Number: 1558384388
Entity Type: Individual
Name: DR. Michael C. Wallis, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jul 25, 2006
Last Updated: Dec 16, 2021

Practice Location

Address: 100 MARIO CAPECCHI DR
City: Salt Lake City
State: Utah
ZIP Code: 84113-1103
Phone: (801) 662-5555

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