Individual
ARLENE BOUTIN
Active
Individual
ARLENE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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