NPI
Anthony W Boutt MD PC
Phone (810) 987-3556 · Fax (810) 987-5090 · NPI 1073939732
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2014-03-05
- Last updated
- 2014-03-05
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Specialties
Licenses
- License MI
- 4301070173
Location
- Practice location
- 1522 Pine Grove Ave Ste C
- City
- Port Huron MI
- Postal code
- 48060-3382
- Phone
- (810) 987-3556
- Fax
- (810) 987-5090
Organization contact
- Name
- Anthony Boutt
- Title
- Physician/Owner
- Phone
- (810) 987-3556
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Surgeons in Port Huron, MI. 14 with this primary taxonomy in the public file.
Other NPIs in Port Huron, MI. 1,977 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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