Individual
MICHAEL JOSEPH MICHOTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL ROAD, OAK BLUFFS, MA 02557
(508) 693-3164
(508) 696-5238
Mailing address
1 HOSPITAL ROAD, OAK BLUFFS, MA 02557-1477
(508) 693-3164
(508) 696-5238
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
163610
NY
207R00000X
Internal Medicine Physician
163610
NY
207R00000X
Internal Medicine Physician
Primary
266260
MA
Other
Enumeration date
06/19/2007
Last updated
07/12/2018
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