Individual
MATTHEW L BOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1415 WASHINGTON HTS, ANN ARBOR, MI 48109-2029
(734) 936-1623
Mailing address
1415 WASHINGTON HTS, ANN ARBOR, MI 48109-2029
(734) 936-1623
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
5315116585
MI
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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