Individual provider · Type 1 NPI

Matthew Boutelle, DO

Emergency Medicine Physician · Farmington Hills, MI

NPI number 1679403489 Active

Practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Call (947) 521-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X5151017992 (MI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1679403489

Matthew Boutelle, DO's National Provider Identifier is 1679403489, issued on May 22, 2026. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Farmington Hills, MI. The record was last updated on May 22, 2026.