| Doctor Name: | DR. FELIX QUINN BOUCHER |
| NPI Number: | 1669852869 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301107733 |
| Business Practice Address: | 18101 Oakwood Blvd Dearborn, MI - 481244089 |
| Business Phone Number: | 3134362581 |
| Business Fax Number: | |
| Mailing Address: | 4446 E 48th St, NEWAYGO |
| State: | MI |
| Postal Code: | 493379749 |
| Phone Number: | 6162048309 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2015 |
| NPI Last Update Date: | 06/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301107733 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |