# DR. MATTHEW MARCOTTE

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

## Provider details

- **NPI number:** 1386677946
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3745 | OH | Yes |
| 207R00000X | Internal Medicine Physician | 041340 | OH | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 3745 | OH | — |
| 363A00000X | Physician Assistant | 50.002737RX | OH | — |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 09/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 950B376090 | BLUE CROSS | MI |
| 01 | — | P30929F | BLUE CARE NETWORK | MI |