Michael S. Bouton, MD

Surgery Physician · Fargo, ND

Individual Active NPI

NPI number 1356336358

Practice location

801 Broadway N
Fargo, ND 58102-3641
Phone
(701) 234-2251
Fax
(701) 234-2050

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NPI record

NPI
1356336358
Entity type
Individual (Type 1)
Enumeration date
September 15, 2005
Last updated
March 25, 2022
Certified
March 25, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 10920 ND
Surgery Physician 208600000X R4107 AR
Surgery Physician 208600000X G9329 TX

Mailing address

PO Box 2010
Fargo, ND 58122-0605

About Dr. Bouton

Michael S. Bouton, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 801 Broadway N, Fargo, ND 58102-3641. The NPI number 1356336358 was assigned on September 15, 2005 and the record was last updated on March 25, 2022.

Dr. Bouton lists 3 licenses in the registry: #10920 (ND) for Surgery Physician; #R4107 (AR) for Surgery Physician; #G9329 (TX) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael S. Bouton, MD?

The NPI number is 1356336358.

What is the phone number of Dr. Bouton?

The phone number listed for the practice location is (701) 234-2251.

Where is Dr. Bouton located?

801 Broadway N, Fargo, ND 58102-3641.

What is the taxonomy code for Dr. Bouton?

The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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