Individual
DR. MICHELLE G HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, PEDIATRIC INPATIENT MEDICINE, SALT LAKE CITY, UT 84113-1103
(801) 662-3645
(801) 662-3664
Mailing address
295 CHIPETA WAY, UOFU SOM-DEPT OF PEDIATRICS, SALT LAKE CITY, UT 84108-1220
(801) 587-7400
(801) 587-4417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
282612-1205
UT
208M00000X
Hospitalist Physician
Primary
282612-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142259
—
MT
05
—
D5781
—
UT
Enumeration date
11/30/2006
Last updated
09/11/2025
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