NPI 1003230871

Aubrey Lynn Boucher, PAC

Practitioner Physician Assistant Ann Arbor, MI

Practice location

Address: 1500 East Medical Center Dr 2nd Floor Taubman Center Recp F, Ann Arbor, MI 48109-5332
Phone: (734) 936-5738
Mailing address: 3621 South State Street 700 Kms Place, Ann Arbor, MI 48108

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601006908 (MI)

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Registry record

NPI: 1003230871
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2014
Record last updated: 15 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.