MEDICARE: DR. MICHAEL KARL LOWE D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	102531-0501	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063417335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL KARL LOWE D.P.M.

Provider Business Mailing Address
First Line	:	144 S 700 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1109
Country	:	US
Telephone Number	:	801-532-1822
Fax Number	:	801-532-7544

Provider Business Practice Location Address
First Line	:	144 S 700 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1109
Country	:	US
Telephone Number	:	801-532-1822
Fax Number	:	801-532-7544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	09/12/2007

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