James J Boutrous, MD

NPI #1487619722 in St Clair Shores, Michigan

Provider Information

NPI Number: 1487619722
Entity Type: Individual
Name: James J Boutrous, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: Apr 19, 2006
Last Updated: Jul 28, 2008

Practice Location

Address: 20952 E 12 MILE RD
Address 2: SUITE 200
City: St Clair Shores
State: Michigan
ZIP Code: 48081-3200
Phone: (586) 771-4820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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