Individual
DUTCH MICHAEL PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
VA MEDICAL CENTER, SALT LAKE CITY, UT 84148-0001
(801) 584-1219
Mailing address
2625 QUAIL HOLLOW DR, SANDY, UT 84093-2801
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
5622703-3104
UT
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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