Organization
MARLON MICHEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLON MICHEL MD MBA (PRESIDENT)
(801) 369-3535
Entity
Organization
Contact information
Practice address
1187 N 1100 E, OREM, UT 84097-4391
(801) 369-3535
Mailing address
1187 N 1100 E, OREM, UT 84097-4391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0004412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8525065
—
WA
Enumeration date
01/27/2010
Last updated
01/27/2010
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