DR. Matthew James Boutell, MD
NPI #1043210818 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1043210818
- Entity Type
- Individual
- Name
- DR. Matthew James Boutell, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jul 22, 2005
- Last Updated
- Sep 17, 2018
Practice Location
- Address
- 2680 LEONARD ST. NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49525
- Phone
- (616) 224-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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