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Contact Information

MICHELLE BOUTIN, PA
15 GRACELAWN RD STE 101
AUBURN, ME04210-6347
 Phone: 207-333-4710
 Fax: 207-333-4715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE BOUTIN · (Female)

NPI # 1194313080
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/06/2021
Last updated 11/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • ST MARYS REGIONAL MEDICAL CENTER - (Acute Care)
    CAMPUS AVENUE - PO BOX 291
    LEWISTON, ME 04240
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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