Provider Demographics
NPI:1720179971
Name:MARICIC, MICHAEL JOSEPH (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:MARICIC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7520 N ORACLE RD SUITE 100
Mailing Address - Street 2:CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-408-1133
Mailing Address - Fax:520-408-2233
Practice Address - Street 1:7520 N ORACLE RD SUITE 100
Practice Address - Street 2:CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, PC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-408-1133
Practice Address - Fax:520-408-2233
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2010-04-07
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Provider Licenses
StateLicense IDTaxonomies
AZAZ13959207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ07749OtherBCBS
AZ263822Medicaid
AZZ103337Medicare PIN
2103337Medicare ID - Type Unspecified
D44207Medicare UPIN