Individual
DR. MICHAEL S BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2251
(701) 234-2050
Mailing address
PO BOX 2010, FARGO, ND 58122-0605
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10920
ND
208600000X
Surgery Physician
G9329
TX
208600000X
Surgery Physician
R4107
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14800
—
ND
Enumeration date
09/15/2005
Last updated
03/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us