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Individual

MICHAEL G MARCOTTE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2060 43RD ST SE, GRAND RAPIDS, MI 49508-5099
(616) 281-0093
(616) 281-0580
Mailing address
2060 43RD ST SE, GRAND RAPIDS, MI 49508-5099
(616) 281-0093
(616) 281-0580

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301406547
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4682704
MI
Enumeration date
10/05/2005
Last updated
07/08/2007
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