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

Dr. Matthew Boutelle, DO

Individual provider Emergency Medicine Physician · NPI 1679403489

Dr. Matthew Boutelle, DO is an Emergency Medicine Physician in Farmington Hills, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone: (947) 521-8000
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5151017992 (MI)

Record details

NPI number1679403489
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address28050 Grand River Ave, Farmington Hills, MI 48336-5919

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