Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony W Boutt MD PC

Organization Surgery Physician · NPI 1073939732

Anthony W Boutt MD PC is a Surgery Physician in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1522 Pine Grove Ave Ste C
Port Huron, MI 48060-3382
Phone: (810) 987-3556
Fax: (810) 987-5090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301070173 (MI)

Record details

NPI number1073939732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Boutt — Physician/Owner · (810) 987-3556
NPI enumeratedMarch 5, 2014
Last updated in NPPESMarch 5, 2014
Mailing address1522 Pine Grove Ave Ste C, Port Huron, MI 48060-3382

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