Individual
DR. MICHAEL R MARCOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20 SHAKER ROAD, GRAY, ME 04039-9531
(207) 657-7101
(207) 657-7165
Mailing address
20 SHAKER ROAD, PO BOX 215, GRAY, ME 04039-9531
(207) 657-7101
(207) 657-7165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1361
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061123
BC/BS PROVIDER ID
ME
05
—
175150099
—
ME
01
—
352502
HARVARD PILGRIM PROVIDER
ME
01
—
3692954
AETNA PROVIDER NUMBER
ME
01
—
69304
CIGNA PROVIDER NUMBER
ME
Enumeration date
04/17/2006
Last updated
09/30/2013
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