SearchMichigan207Q00000X

Matthew Boutell, MD

NPI 1043210818 · on the registry since 2005

Practice

Address
2680 Leonard St. Ne
Grand Rapids, MI 49525
Phone
(616) 224-1515
Fax
(616) 224-2070
Organisation at this address
Haven Spine & Pain Center Pllc
Grand Valley Family Health Center
Grand Valley Surgical Center, Llc
Orthopaedic Associates Of Grand Rapids Pc
Cosmetic And Plastic Surgery Of Michigan Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan