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Dr. Michael C. Wallis, MD
Urology Physician in Salt Lake City, Utah
NPI 1558384388

Michael C. Wallis is a Urology Physician based in Salt Lake City, UT. Michael C. Wallis practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Michael C. Wallis is 1558384388 and holds a License No. M-13870 (Utah).

The current practice location address for Michael C. Wallis is 100 Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-662-5555. You can also correspond with Michael C. Wallis through the mailing address at PO BOX 413035, SALT LAKE CITY, UT - 84141-3035 (mailing address contact number: 801-213-3900).

Location: 100 Mario Capecchi Dr, Salt Lake City, UT, 84141-3035
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Provider Profile Details
NPI Number
1558384388
Provider Name
Michael C. Wallis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Mario Capecchi Dr, Salt Lake City, UT, 84141-3035
Phone Number
801-662-5555
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-5555
Fax Number
person
Provider Business Mailing Address Details
Address
100 Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
6078212-1205 (Utah)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
License No.
M-13870 (Idaho)
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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