Matthew James Boutell in Grand Rapids - Family Medicine
Matthew James Boutell - NPI 1043210818
Matthew James Boutell is a Family Medicine in Grand Rapids, Michigan. Matthew James Boutell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Matthew James Boutell is 1043210818. The last update date is 2018-09-17.
Matthew James Boutell's current location address is 2680 Leonard St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6169499944 and fax number 6169494978. The mailing address for Matthew James Boutell is 2680 Leonard St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew James Boutell |
|---|---|
| Address | 2680 Leonard St Ne, Grand Rapids, Michigan |
| Phone Number | 6169499944 |
| Fax Number | 6169494978 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043210818 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2018-09-17 |
Provider Mailing Address Detail
| Address | 2680 Leonard St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49525 |
| Phone Number | 6169499944 |
| Fax Number | 6169494978 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301081178 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Matthew James Boutell's unique identification number?
The Matthew James Boutell has been assigned the NPI (National Provider Identifier) Number 1043210818 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Matthew James Boutell is geographically located?
The Matthew James Boutell is physically situated at the following location: 2680 Leonard St Ne, Grand Rapids, MI, 49525.
What is Matthew James Boutell's area of expertise and its corresponding taxonomy classification?
The Matthew James Boutell's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Matthew James Boutell receive its 1043210818 assignment?
The Matthew James Boutell was assigned its 1043210818 on 2005-07-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Matthew James Boutell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew James Boutell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-17.