Individual
DR. MICHAEL COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 LINDEN ST, BANGOR, ME 04401-3411
(207) 941-1099
Mailing address
30 LINDEN ST, BANGOR, ME 04401-3411
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
MD13623
ME
207R00000X
Internal Medicine Physician
MD13623
ME
207RI0200X
Infectious Disease Physician
MD13623
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025020
BLUE CROSS
ME
05
—
248470099
—
ME
Enumeration date
03/14/2006
Last updated
11/26/2021
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