Individual
MICHAEL R. HARVEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(072) 482-7800
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-32459
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
245137
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
24884
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD26612
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013939305
—
ME
05
—
200094790A
—
OK
05
—
200602860A
—
KS
05
—
200602860C
—
KS
Enumeration date
07/24/2006
Last updated
06/23/2023
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