Whalio Doctors

NPI 1114944790

Michael W. Mangelson, MD

Practitioner Urology Physician Salt Lake City, UT

Practice location

Address
389 S 900 E, Salt Lake City, UT 84102
Phone
(385) 282-2000
Fax
(385) 282-2001
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 291501-1205 (UT)

Registry record

NPI
1114944790
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jul 2006
Record last updated
4 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.