Individual
MICHAEL J BOUVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 587-4404
(502) 587-4155
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 587-4404
(502) 587-4155
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33337
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200255010A
—
IN
05
—
64009483
—
KY
Enumeration date
05/15/2006
Last updated
11/24/2010
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