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NPI Verification

National Provider Identifier: 1649896317

Matthew Boudreau Ayres, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Urology

Code: 208800000X

Practice Address

1105 SIXTH ST

TRAVERSE CITY, MI 496842345

NPI Enumeration Date

June 18, 2020

NPI Number

1649896317

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry