Most Relevant Information
Provider Data
| NPI Number: | 1003201096 |
| Provider Name: | MICHAEL MARTIN WACH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2086X0206X |
| Specialty: | Surgery |
| License Number: | ME168096 |
Most Important Dates
| Enumeration Date: | 04/06/2015 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
12902 USF MAGNOLIA DR
TAMPA
FL
336129416
Practice Location Phone/Fax
| Phone: | 8137452916 |
| Fax: |
Provider Mailing Location
12902 USF MAGNOLIA DR
TAMPA
FL
336129416
Provider Mailing Phone/Fax
| Phone: | 7164802761 |
| Fax: |