Jimmy Roger Boutin, M.D.

NPI #1417976937 in Wyandotte, Michigan

Provider Information

NPI Number: 1417976937
Entity Type: Individual
Name: Jimmy Roger Boutin, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2333 BIDDLE ST
City: Wyandotte
State: Michigan
ZIP Code: 48192-4668
Phone: (734) 246-7913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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