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

Anthony Edward Boutt, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1710981071

Anthony Edward Boutt, MD is an Obstetrics & Gynecology Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22250 Providence Dr 408
Southfield, MI 48075-4825
Phone: (248) 465-4470
Fax: (248) 465-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301030028 (MI)

Record details

NPI number1710981071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2005
Last updated in NPPESDecember 19, 2011
Mailing address15990 W 9 Mile Rd, Southfield, MI 48075-4826

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