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
Fax: (616) 281-0580
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124015045 NPPES
Michigan MEDICAID 4682704

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