Individual
MARION A MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-2303
(801) 581-6908
(801) 581-4385
Mailing address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-2303
(801) 581-6908
(801) 581-4385
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
190104-3102
UT
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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