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Michael B Wilson, MD
Otolaryngology Physician in Salt Lake City, Utah
NPI 1164801411

Michael B Wilson is a Otolaryngology Physician based in Portland, UT. Michael B Wilson practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Michael B Wilson is 1164801411 and holds a License No. MD197082 (Utah).

The current practice location address for Michael B Wilson is 4000 S 700 E Ste 10, Salt Lake City, UT and can be reached out via phone at 801-268-4141.

Location: 4000 S 700 E Ste 10, Salt Lake City, UT, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164801411
Provider Name
Michael B Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4000 S 700 E Ste 10, Salt Lake City, UT, 97208-3158
Phone Number
801-268-4141
Fax Number
Provider Enumeration Date
05/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4000 S 700 E Ste 10
City
Salt Lake City
State
Utah
Zip
84107-2580
Phone Number
801-268-4141
Fax Number
person
Provider Business Mailing Address Details
Address
4000 S 700 E Ste 10
City
Salt Lake City
State
Utah
Zip
84107-2580
Phone Number
801-268-4141
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
4301107292 (Michigan)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD197082 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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