J. MICHAEL WALLACE

SALT LAKE CITY, UT
NPI1477707685
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: UT  7471598-1205)
Enumeration Date2008-11-14
Last Update Date2012-06-14
Business Address
Dr. J. MICHAEL WALLACE M.D.
1528 LAIRD AVE
SALT LAKE CITY, UT 84105-1730
Phone number: 503-475-8549
Mailing Address
Dr. J. MICHAEL WALLACE M.D.
821 S 600 E
SALT LAKE CITY, UT 84102-3507
Phone number: 503-475-8549
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