Individual
DR. MICHAEL PROCHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-4357
Mailing address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-4357
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9404572-1205
UT
Other
Enumeration date
11/05/2015
Last updated
05/06/2016
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