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Gary A Marcotte, DO

Family Medicine in Dyer, IN. Individual provider (NPI-1).

NPI number1699720144
StatusActive
Last updated in NPPESMar 3, 2010

Details

NPI
1699720144
Entity type
Individual (NPI-1)
Name
Gary A Marcotte
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2006
Last updated
Mar 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine02000603AINYes
207Q00000X Family Medicine036057151IL

Practice location

15900 W 101st Ave
Dyer, IN 46311

Phone 219-365-6333 · Fax 219-365-8291

Mailing address

15900 W 101st Ave
Marcotte Medical Group, Sc
Dyer, IN 46311

Phone 219-365-6333 · Fax 219-365-8291

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