IndividualActive
Michael Mahan, M.D.
NPI 1811316847 · Adult Reconstructive Orthopaedic Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1811316847
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11265662-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-5400
Approximate (ZIP-level) locationGet directions
Mailing address
590 S Wakara Way
Salt Lake City, UT 84108-1200
Additional practice locations (1)
- 2799 W Grand BlvdHenry Ford Hospital Medical Education DepartmentDetroit, MI 48202-2608Phone: (313) 916-2600
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2019-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.