Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 005959 | AZ |
N | 207X00000X | Orthopaedic Surgeon | 10441479-1204 | UT |
Y | 207X00000X | Orthopaedic Surgeon | 60 | WI |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 20A10882 | CA |
NPI | 1093919995 |
---|---|
Provider Name | Dr. Michael Wayne Manning |
First Address | Saint George, UT 84790-7003 |
Second Address | Saint George, UT 84790-7003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 10/06/2019 |