MICHAEL C. WALLIS

SALT LAKE CITY, UT
NPI1558384388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: UT  6078212-1205)
Additional Taxonomies2088P0231X 
(Licence: ID  M-13870)
Enumeration Date2006-07-25
Last Update Date2021-12-16
Business Address
Dr. MICHAEL C. WALLIS M.D.
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-5555
Mailing Address
Dr. MICHAEL C. WALLIS M.D.
PO BOX 413035
SALT LAKE CITY, UT 84141-3035
Phone number: 801-213-3900
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