Individual
DR. MICHAEL SHAUN MACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR # 4550, SALT LAKE CITY, UT 84113-1103
(801) 662-5600
Mailing address
PO BOX 413026, SALT LAKE CITY, UT 84141-3026
(801) 213-3900
(801) 662-5639
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4918951-1205
UT
207X00000X
Orthopaedic Surgery Physician
L5031
TX
Other
Enumeration date
02/28/2006
Last updated
04/25/2022
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