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Anthony Edward Boutt, MD
Obstetrics & Gynecology Physician in Southfield, Michigan
NPI 1710981071

Anthony Edward Boutt is a Obstetrics & Gynecology Physician based in Southfield, MI. Anthony Edward Boutt practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Anthony Edward Boutt is 1710981071 and holds a License No. 4301030028 (Michigan).

The current practice location address for Anthony Edward Boutt is 22250 Providence Dr, Southfield, MI and can be reached out via phone at 248-465-4470 and via fax at 248-465-4471.

Location: 22250 Providence Dr, Southfield, MI, 48075-4826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710981071
Provider Name
Anthony Edward Boutt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr, Southfield, MI, 48075-4826
Phone Number
248-465-4470
Fax Number
248-465-4471
Provider Enumeration Date
06/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
333564110 05 MI
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075-4825
Phone Number
248-465-4470
Fax Number
248-465-4471
person
Provider Business Mailing Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075-4825
Phone Number
248-465-4470
Fax Number
248-465-4471
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
4301030028 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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