Individual
MITZI LYNN WASSERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 FOOTHILL BLVD, 116OP, SALT LAKE CITY, UT 84148-0001
(801) 584-1217
(801) 584-2544
Mailing address
500 FOOTHILL BLVD, 116OP, SALT LAKE CITY, UT 84148-0001
(801) 584-1217
(801) 584-2544
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
276364-1205
UT
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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