Provider Demographics
NPI:1952406266
Name:BATT, MICHAEL GREGGORY (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:GREGGORY
Last Name:BATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PARK ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092
Mailing Address - Country:US
Mailing Address - Phone:207-856-6700
Mailing Address - Fax:207-856-6259
Practice Address - Street 1:50 PARK ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092
Practice Address - Country:US
Practice Address - Phone:207-856-6700
Practice Address - Fax:207-856-6259
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME008535207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME108530000Medicaid
ME003682OtherBC PROV #
ME108530000Medicaid
D03635Medicare UPIN