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Individual

DR. MICHAEL MAKARETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
015663
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002413
ANTHEM BLUE SHIELD
ME
01
040016217
RAILROAD INDIV PROV #
ME
01
100224700
DEPARTMENT OF LABOR
ME
05
110570000
ME
05
110570100
ME
01
2628379
AETNA
ME
05
276630099
ME
01
9480962
CIGNA INDIV PROV NUMBER
ME
01
CH8191
RAILROAD MCARE GROUP #
ME
01
M2995
CIGNA NEW HAMPSHIRE
ME
01
MN4436
HARVARD PILGIRM
ME
Enumeration date
12/06/2005
Last updated
02/07/2012
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