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1588675896
MICHAEL J WALL
SANDY, UT
NPI
1588675896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 180274-1205)
Enumeration Date
2006-08-11
Last Update Date
2013-11-11
Business Address
-- MICHAEL J WALL MD
8074 S 1300 E
SANDY, UT 84094-0743
Phone number: 801-565-6500
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Mailing Address
-- MICHAEL J WALL MD
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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