MATTHEW JAMES BOUTELL

GRAND RAPIDS, MI
NPI1043210818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301081178)
Enumeration Date2005-07-22
Last Update Date2018-09-17
Business Address
Dr. MATTHEW JAMES BOUTELL MD
2680 LEONARD ST. NE
GRAND RAPIDS, MI 49525
Phone number: 616-224-1515
Mailing Address
Dr. MATTHEW JAMES BOUTELL MD
2680 LEONARD ST NE SUITE 2
GRAND RAPIDS, MI 49525
Phone number: 616-949-9944