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Individual

DR. MICHAEL N GAUTHIER

Active
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Individual

DR. MICHAEL N GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME014829
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100365YPME01
ANTHEM BCBS NEW HAMPSHIRE
NH
01
—
010467585
MACHIGONNE
—
01
—
027332
ANTHEM BCBS
—
01
—
080140514
RAILROAD MEDICARE
—
01
—
271500099
PRIMECARE MEDICAID
—
05
—
271500099
—
ME
01
—
6960100
CIGNA HEALTHCARE
—
01
—
F83718
HARVARD PILGRIM
—
Enumeration date
04/08/2006
Last updated
04/12/2011
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