Individual
MATTHEW MICHAEL SCHELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(385) 887-6000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6273825-1204
UT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
6273825-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982871828
—
UT
Enumeration date
05/24/2007
Last updated
11/21/2024
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