Dr. Michael C. Wallis, MD
Dr. Michael C. Wallis, MD is an Urology in Salt Lake City, Utah. Graduated from Ohio State University College of Medicine in 1999, 27 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.
- Years since qualifying
- 27
- Trained at
- Ohio State University College of Medicine
- Licensed in
- ID, UT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone: (801) 662-5555
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 6078212-1205 (UT) |
|---|---|
| Pediatric Urology Physician | Taxonomy 2088P0231X · Licence M-13870 (ID) |
Record details
| NPI number | 1558384388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 25, 2006 |
| Last updated in NPPES | December 16, 2021 |
| Certification date | December 16, 2021 |
| Mailing address | Po Box 413035, Salt Lake City, UT 84141-3035 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Also practises | PEDIATRIC MEDICINE |
| Medical school | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 1999 (27 years in practice) |
| Group practice | University Of Utah Pediatric Services — 119 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Salt Lake City
-
Dr. Rano Naim Gabra Matta, MD
30 N 1900 E Rm 3B427, Salt Lake City, UT 84132-0002 · (801) 213-2700
-
Dr. Robert A Stephenson, MD
1950 Circle Of Hope Dr, Salt Lake City, UT 84112-5500 · (801) 587-4385
-
Leah Stoehr, APRN
100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 · (801) 662-5555
-
University of Utah Pediatric Services
100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 · (801) 587-6336
-
Brian Patrick Wiseman, MD
30 N Mario Capecchi Dr Rm 4S100, Salt Lake City, UT 84112 · (801) 581-2121