Individual
MICHAEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 HEALTHCARE DRIVE, SUITE 204, BIDDEFORD, ME 04005-3742
(207) 284-2630
(207) 284-2631
Mailing address
1 MEDICAL DR, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
014332
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030300
ANTHEM
ME
01
—
1041112
AETNA
ME
05
—
269230099
—
ME
01
—
620050901
CIGNA
—
01
—
G33685
HARVARD PILGRIM
ME
Enumeration date
04/06/2006
Last updated
09/18/2013
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