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1043210818
MATTHEW JAMES BOUTELL
GRAND RAPIDS, MI
NPI
1043210818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301081178)
Enumeration Date
2005-07-22
Last Update Date
2018-09-17
Business Address
Dr. MATTHEW JAMES BOUTELL MD
2680 LEONARD ST. NE
GRAND RAPIDS, MI 49525
Phone number: 616-224-1515
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Mailing Address
Dr. MATTHEW JAMES BOUTELL MD
2680 LEONARD ST NE SUITE 2
GRAND RAPIDS, MI 49525
Phone number: 616-949-9944
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