Individual
MICHAEL V WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4111
(801) 463-7341
Mailing address
PO BOX 95970, SOUTH JORDAN, UT 84095-0970
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
172093-1205
UT
208M00000X
Hospitalist Physician
Primary
172093-1205
UT
Other
Enumeration date
08/12/2006
Last updated
09/21/2010
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