Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL C. WALLIS, M.D.
ActiveUrology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1558384388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (19.774163086621 yrs)
- Last Updated
- Dec 16, 2021
- Licenses
-
M-13870 (ID)6078212-1205 (UT)
Practice Information
- Address
-
100 MARIO CAPECCHI DRSALT LAKE CITY, UT, 841131103Browse UT providers · Browse ZIP 84113
- Phone
- 8016625555
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| LISA STOUT | M.D. | 1548263213 |
| GARY BLAKE JOHNSON | MD | 1144223827 |
| BRADLEY J. WATERMAN | MD | 1699718809 |
| DR. WILLIAM O. BRANT | M.D. | 1467478339 |
| MICHAEL W. MANGELSON | M.D. | 1114944790 |
| STEVEN C LYNCH | MD | 1578677803 |
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.