|Active||Over 12 years ago|
|5251 CLYDE PARK SW
WYOMING MI, 49509, US
|829 FOREST HILL AVE SE
GRAND RAPIDS MI, 49546-2387, US
|Remove 1043210818 NPI Number|
According to our database, Dr. Matthew James Boutell MD NPI is 1043210818, taxonomy code is 207Q00000X and license number is 4301081178, license state is located at Michigan. Matthew James Boutell MD physically located at 5251 Clyde Park Sw, Wyoming MI, 49509. NPI Number Matthew James Boutell MD has the Individual type.
1043210818 NPI number is provided on an as is basis without warranty of any kind. 1043210818 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew James Boutell MD are for informational purposes only.