DR. Julie A Boutt, M.D.

NPI #1285749549 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1285749549
Entity Type: Individual
Name: DR. Julie A Boutt, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 20, 2006
Last Updated: Sep 29, 2015

Practice Location

Address: 4071 24TH AVE
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-3801
Phone: (810) 824-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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