Individual
DR. MICHAEL MARTIN WACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-2916
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME168096
FL
2086X0206X
Surgical Oncology Physician
Primary
ME168096
FL
Other
Enumeration date
04/06/2015
Last updated
05/15/2026
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