Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35064499M | OH |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 38538 | KY |
NPI | 1326046889 |
---|---|
Provider Name | Michael Marcotte |
First Address | Cincinnati, OH 45212-3397 |
Second Address | Cincinnati, OH 45220-2475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 18/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2020468 | (05) | OH |
G50695 | (02) | OH |