Individual provider · Type 1 NPI
Michelle Boutin, PA
Surgical Physician Assistant · Auburn, ME
NPI number
1194313080
Active
Practice location
15 Gracelawn Rd Ste 101
Auburn, ME 04210-6347
Fax (207) 333-4715
Mailing address
PO Box 95000 Lbx 7650
Philadelphia, PA 19195-0001
Other practice locations
- 773 Main St, Hartford, ME 04220-5120 · (207) 212-4119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
5 other providers at this address
- Boris V. Kovalenko, MDOrthopaedic Surgery Physician Auburn, ME NPI 1366838278
- Daniel Chester Buck, D.P.M.Foot & Ankle Surgery Podiatrist Auburn, ME NPI 1972580009
- Jeffrey Neil Davila, MDSports Medicine (Orthopaedic Surgery) Physician Auburn, ME NPI 1144394099
- Laura M. Glaser, PA-CSurgical Physician Assistant Auburn, ME NPI 1568550341
- Matthew Parent Mitchell, PASurgical Physician Assistant Auburn, ME NPI 1295324226
Other surgical physician assistant providers in Auburn
- Matthew Parent Mitchell, PASurgical Physician Assistant Auburn, ME NPI 1295324226
- Mindy L. Puri, PA-CSurgical Physician Assistant Auburn, ME NPI 1386833317
- Brittany A. Roy, PA-CSurgical Physician Assistant Auburn, ME NPI 1548638232
- Laura M. Glaser, PA-CSurgical Physician Assistant Auburn, ME NPI 1568550341
About NPI 1194313080
Michelle Boutin, PA's National Provider Identifier is 1194313080, issued on Jan 6, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Auburn, ME. The record was last updated on Nov 8, 2022.