Provider Demographics
NPI:1194987875
Name:PALMER, MICHELLE L (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:PALMER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1325 W SOUTH JORDAN PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-9060
Mailing Address - Country:US
Mailing Address - Phone:801-508-3111
Mailing Address - Fax:801-508-3105
Practice Address - Street 1:1325 W SOUTH JORDAN PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-9060
Practice Address - Country:US
Practice Address - Phone:801-508-3111
Practice Address - Fax:801-508-3105
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2021-11-10
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Provider Licenses
StateLicense IDTaxonomies
UT7415936-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine