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ANTHONY W BOUTT MD PC
NPI 1073939732
Surgery in Port Huron, MI

Active since March 05, 2014
1522 PINE GROVE AVE STE C, PORT HURON, MI 48060(810) 987-3556(810) 987-5090 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anthony W Boutt Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY W BOUTT MD PC (NPI 1073939732) is a healthcare organization registered as a surgery in Port Huron, Michigan and active in the NPI registry since March 2014. The organization lists Anthony W Boutt, Physician/owner, as its authorized official.Information from the official NPPES registry record, last updated March 5, 2014.

NPPES Registry Identity

NPI1073939732
Entity TypeOrganization
Legal Business NameANTHONY W BOUTT MD PC
Location Address1522 PINE GROVE AVE STE CPort Huron, MI 48060-3382
Mailing Address1522 Pine Grove Ave Ste CPort Huron, MI 48060-3382 · (810) 987-3556 · Fax (810) 987-5090
Phone(810) 987-3556
Fax(810) 987-5090
Organization SubpartNo
Authorized OfficialAnthony W BouttPhysician/owner · (810) 987-3556
Enumeration DateMarch 5, 2014
✔ NPI 1073939732 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Surgery

Taxonomy 208600000X · Allopathic & Osteopathic Physicians

✔ Licensed in MI · 4301070173

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the… Show more

1522 PINE GROVE AVE STE C, Port Huron, MI 48060
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Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)
Accepted insurance plans are listed on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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Frequently Asked Questions

What is ANTHONY W BOUTT MD PC's NPI number?

The NPI number assigned to this healthcare provider is 1073939732, enumerated as an "organization" on March 05, 2014.

Where is the provider located?

The provider is located at 1522 PINE GROVE AVE STE C PORT HURON, MI 48060 and the phone number is (810) 987-3556.

What is the provider's specialty?

Surgery with taxonomy code 208600000X.

What insurance does ANTHONY W BOUTT MD PC accept?

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.