Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael B Wilson, MD

Individual provider Otolaryngology Physician · NPI 1164801411

Michael B Wilson, MD is an Otolaryngology in Salt Lake City, Utah. Graduated from Washington University School of Medicine in 2015, 11 years ago. Practices with ENT Professional Association Services, an 18-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Trained at
Washington University School of Medicine
Licensed in
UT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580
Phone: (801) 268-4141
Fax: (801) 261-8609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 7205671-1205 (UT)

Record details

NPI number1164801411
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2015
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Ent Professional Association Services — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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