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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL FANK JR., NP

Active Sole Proprietor

MICHAEL FANK JR., NP is a General Practice healthcare provider located in SALT LAKE CITY, Utah. NPI 1477421337 is currently active in the NPPES registry. Verify at CMS.

General Practice · SALT LAKE CITY, UT

Registration Details

NPI Number
1477421337
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2025 (0.78372944908879 yrs)
Last Updated
Feb 3, 2026
Licenses
13824 (MN)
334001 (AZ)
226598 (OK)
277639 (MT)
58177 (WY)
Sole Proprietor
Yes

Practice Information

Address
2504 S IMPERIAL ST
SALT LAKE CITY, UT, 841063613
Browse UT providers · Browse ZIP 84106
Phone
2517677880
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
General Practice
Additional Specialty
General Practice
Additional Specialty
General Practice

Other General Practice Providers in SALT LAKE CITY, UT

Name Credential NPI
DENNIS JON WYMAN M.D. 1316946015
NICOLE M GIRARD M.D 1992791677
DR. LINDA MILLER 1124101878
DR. BRENT CARL JAMES M.D., M.STAT. 1548406325
DR. MARTIN RICHARD BUTA M.D. 1639495047
DR. CHAD CHENOWETH M.D. 1255620068
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.