Individual
DR. MICHAEL N GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909-1159
(207) 363-8430
(207) 351-3006
Mailing address
127 LONG SANDS RD, SUITE 11, YORK, ME 03909-1159
(207) 363-8430
(207) 351-3006
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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