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

MR. DOUGLAS MARR WOSETH, M.D.

Active Sole Proprietor

MR. DOUGLAS MARR WOSETH, M.D. is a Specialist healthcare provider located in SALT LAKE, Utah. NPI 1619978970 is currently active in the NPPES registry. Verify at CMS.

Specialist · SALT LAKE, UT

Registration Details

NPI Number: 1619978970
Provider Type: Individual
Gender: Male
NPI Issued: Aug 9, 2005 (21.042030536324 yrs)
Last Updated: Sep 9, 2014
Licenses: A79309 (CA)

6144238 (UT)
Sole Proprietor: Yes

Practice Information

Address: 1548 EAST 4500 SOUTH,

SUITE 202

SALT LAKE, UT, 841175209
Browse UT providers · Browse ZIP 84117
Phone: 8012668841
Fax: 8012660449
Primary Specialty: Specialist
174400000X
Additional Specialty: Specialist

Other Specialist Providers in SALT LAKE, UT

Name	Credential	NPI
MARISSA KING	—	1669964516

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.