NPI | 1669424768 |
---|---|
Doing Business As | MARCOTTE MEDICAL GROUP, SC |
Former Legal Business Name | MARCOTTE MEDICAL GROUP INC |
Entity Type | Organization |
Authorized Contact | TREVOR M MARCOTTE Owner 219-365-6333 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-17 |
Last Update Date | 2023-11-21 |