Individual
DR. MATTHEW SCOTT DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6044 US 41 S, SUITE 3, MARQUETTE, MI 49855-9090
(906) 249-3600
(877) 992-7013
Mailing address
6044 US 41 S, SUITE 3, MARQUETTE, MI 49855-9090
(906) 249-3600
(877) 992-7013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43010600038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4974164
—
MI
01
—
MD060038
BCBS OF MICHIGAN
MI
01
—
P00400246
RAILROAD MEDICARE
MI
Enumeration date
07/20/2005
Last updated
04/23/2017
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