JIMMY ROGER BOUTIN

WYANDOTTE, MI
NPI1417976937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MI  4301055999)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
-- JIMMY ROGER BOUTIN M.D.
2333 BIDDLE ST
WYANDOTTE, MI 48192-4668
Phone number: 734-246-7913
Mailing Address
-- JIMMY ROGER BOUTIN M.D.
2333 BIDDLE ST
WYANDOTTE, MI 48192-4668
Phone number: 734-246-7913
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