Individual
MR. MICHAEL ANDREW BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(503) 313-8349
Mailing address
411 N CENTER ST, SALT LAKE CITY, UT 84103-1718
(503) 313-8349
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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