Johnson, Michael Wynn

Johnson, Michael Wynn is an individual health care provider with primary practice located at 9450 S 1300 E Ste 120, Sandy UT 84094-5555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Johnson, Michael Wynn can be contacted via phone (801) 501-5500.

Contact Information

Primary practice address
9450 S 1300 E Ste 120 Sandy UT 84094-5555
Phone: (801) 501-5500
Fax: (801) 501-5800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD23859 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 6782459-1205 Utah

Profile Details

NPI number 1073582862
LBN Legal business name Johnson, Michael Wynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582862 NPPES
Utah MEDICAID 1073582862

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