# MATTHEW LEE MARCUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043537483
- **Gender:** Man
- **Credential:** R.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | Yes |
| 163W00000X | Registered Nurse | RN.356422 | OH | — |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 08/27/2025