Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW JAMES BOUTELL, MD
ActiveDR. MATTHEW JAMES BOUTELL, MD is a Family Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1043210818 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1043210818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2005 (20.880151460455 yrs)
- Last Updated
- Sep 17, 2018
- License
-
4301081178 (MI)
Practice Information
- Address
-
2680 LEONARD ST. NEGRAND RAPIDS, MI, 49525Browse MI providers · Browse ZIP 49525
- Phone
- 6162241515
- Fax
- 6162242070
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| LEE P. BEGROW | DO | 1528062155 |
| DAVID FRANCIS LIEUWEN | M.D. | 1043214414 |
| DR. JAMES THOMAS KERBY | MD | 1649270935 |
| TAMMY BORN HUIZENGA | D.O. | 1003816224 |
| WILLIAM H DUKES | MD | 1154322113 |
| DOROTHY A PEDTKE | D.O. | 1467453456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.