Provider Demographics
NPI:1013912005
Name:COTTONE, MICHAEL A (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:COTTONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:865 LINCOLN RD
Mailing Address - Street 2:STE L10
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4159
Mailing Address - Country:US
Mailing Address - Phone:563-355-9191
Mailing Address - Fax:563-355-3419
Practice Address - Street 1:855 ILLINI DR
Practice Address - Street 2:STE 300
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-2904
Practice Address - Country:US
Practice Address - Phone:309-792-7061
Practice Address - Fax:309-792-4938
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
20126OtherIOWA HEALTH SOLUTIONS
IA97787OtherWELLMARK BC/BS
020347OtherHEALTH ALLIANCE
4796890024OtherDMERC
IL0117OtherJOHN DEERE HEALTH PLAN
020347OtherHEALTH ALLIANCE
IA97787OtherWELLMARK BC/BS