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Contact Information

MICHAEL R HARVEY JR, MD
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-0111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHAEL R HARVEY JR · (Male)

NPI Number 1013939305
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 06/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-32459
  • ME License # MD26612
  • NY License # 245137
  • OK License # 24884
  • KS Medicaid 200602860A
  • KS Medicaid 200602860C
  • ME Medicaid 1013939305
  • OK Medicaid 200094790A
Hospital affiliation(s)
  • BONNER GENERAL HOSPITAL - (Critical Access)
    520 NORTH THIRD AVENUE
    SANDPOINT, ID 83864
  • GREAT FALLS CLINIC MEDICAL CENTER - (Acute Care)
    1411 9TH ST S
    GREAT FALLS, MT 59405
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • SAMARITAN HOSPITAL - (Acute Care)
    801 EAST WHEELER ROAD
    MOSES LAKE, WA 98837
  • SHOSHONE MEDICAL CENTER - (Critical Access)
    25 JACOBS GULCH ROAD
    KELLOGG, ID 83837
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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