Marcotte, Michael G
Marcotte, Michael G is an individual health care provider with primary practice located at 2060 43Rd St Se , Grand Rapids MI 49508-5099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Marcotte, Michael G can be contacted via phone (616) 281-0093.Contact Information
Primary practice address
2060 43Rd St Se
Grand Rapids MI 49508-5099
Phone: (616) 281-0093
Fax: (616) 281-0580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301406547 | Michigan |
Profile Details
| NPI number | 1124015045 |
|---|---|
| LBN Legal business name | Marcotte, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124015045 | NPPES |
| Michigan | MEDICAID | 4682704 |
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