Individual
VANESSA L. HUSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR SOM 3C120, SALT LAKE CITY, UT 84132-0001
(801) 585-7143
(801) 585-5744
Mailing address
50 N MEDICAL DR SOM 3C120, SALT LAKE CITY, UT 84132-0001
(801) 585-7143
(801) 585-5744
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12404284-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
04/25/2025
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