Organization
MICHAEL L WACH DPM PODIATRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LYNN WACH DPM (OWNER)
(323) 749-6950
Entity
Organization
Contact information
Practice address
82935 AVENUE 48 STE 102, INDIO, CA 92201-6757
(801) 878-9321
(801) 878-9382
Mailing address
82935 AVENUE 48 STE 102, INDIO, CA 92201-6757
(801) 878-9321
(801) 878-9382
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4125
CA
Other
Enumeration date
08/07/2012
Last updated
01/22/2024
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