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Individual

MARLON B MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD MBA

Contact information

Practice address
36 E KNIGHTSBRIDGE LN, SALT LAKE CITY, UT 84103-2241
(702) 200-0005
Mailing address
36 E KNIGHTSBRIDGE LN, SALT LAKE CITY, UT 84103-2241
(702) 200-0005

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5685713-1205
UT
207L00000X
Anesthesiology Physician
MD00044212
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084958
AZ
05
122721100
WY
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
QM0000075886
ALTIUS
UT
Enumeration date
09/26/2006
Last updated
11/04/2025
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