Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Emma Rose Boutorwick, PA-C

Individual provider Surgical Physician Assistant · NPI 1538040266

Emma Rose Boutorwick, PA-C is a Surgical Physician Assistant in Bay City, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4 Columbus Ave Ste 160
Bay City, MI 48708-6478
Phone: (989) 393-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601014316 (MI)

Record details

NPI number1538040266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

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