MEDICARE: DR. MICHAEL R VOTH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD012775	LA
2	2085R0202X	Diagnostic Radiology Physician	MD14784	ME
3	2085R0202X	Diagnostic Radiology Physician	10249	NH

General Provider Information

NPI Number	:	1932454477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL R VOTH M.D.

Provider Business Mailing Address
First Line	:	13 PHILLIPS COVE RD
Second Line	:
City	:	CAPE NEDDICK
State	:	ME
Zip	:	03902-7356
Country	:	US
Telephone Number	:	207-361-1620
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 PHILLIPS COVE RD
Second Line	:
City	:	CAPE NEDDICK
State	:	ME
Zip	:	03902-7356
Country	:	US
Telephone Number	:	207-361-1620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	07/20/2012

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