Individual
EMMA ROSE BOUTORWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48235 LAFAYETTE DR, MACOMB, MI 48044-5641
(586) 899-9703
Mailing address
48235 LAFAYETTE DR, MACOMB, MI 48044-5641
(586) 899-9703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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