Most Relevant Information
Provider Data
| NPI Number: | 1003217977 |
| Provider Name: | MIKHAIL SHIPOTKO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | R2744 |
Most Important Dates
| Enumeration Date: | 09/10/2014 |
| Last Updated: | 06/05/2024 |
Provider Practice Location
4401 HARRISON BLVD
OGDEN
UT
844033195
Practice Location Phone/Fax
| Phone: | 8013872800 |
| Fax: |
Provider Mailing Location
4401 HARRISON BLVD
OGDEN
UT
844033195
Provider Mailing Phone/Fax
| Phone: | 8013872800 |
| Fax: |
Suggested EMR
Internist EMR