Individual
ARLENE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2497 7TH AVE E, SUITE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6400
(651) 769-6449
Mailing address
2497 7TH AVE E, SUITE 101, NORTH ST PAUL, MN 55109-2496
(651) 769-6437
(651) 769-6426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0217301
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1553870
MEDICA
MN
01
—
4F004B0
BCBS OF MN
MN
Enumeration date
11/14/2005
Last updated
07/08/2007
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