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Mischa Wayan-Levine
NPI 1366984098 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1512 S Natura St
Salt Lake City, UT 84104 - Phone
- (360) 820-1015
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah