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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTHONY EDWARD BOUTT, MD

Active

ANTHONY EDWARD BOUTT, MD is a Obstetrics & Gynecology healthcare provider located in SOUTHFIELD, Michigan. NPI 1710981071 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · SOUTHFIELD, MI

Registration Details

NPI Number
1710981071
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2005 (21.217770215 yrs)
Last Updated
Dec 19, 2011
License
4301030028 (MI)

Practice Information

Address
22250 PROVIDENCE DR
408
SOUTHFIELD, MI, 480754825
Browse MI providers · Browse ZIP 48075
Phone
2484654470
Fax
2484654471
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in SOUTHFIELD, MI

Name Credential NPI
SHERRI LYNN GRAF DO 1063417137
DR. AWONIYI O AWONUGA MD 1437156064
DR. BRUCE E WEST M.D. 1629077763
DR. PAMILA DIWAN MD 1831172303
PATRICE L HAROLD MD 1689630089
DR. KORIAL J ATTY M.D. 1588613921
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.