Most Relevant Information
Provider Data
| NPI Number: | 1003230871 |
| Provider Name: | AUBREY LYNN BOUCHER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601006908 |
Most Important Dates
| Enumeration Date: | 02/13/2014 |
| Last Updated: | 03/15/2017 |
Provider Practice Location
1500 EAST MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR
MI
481095332
Practice Location Phone/Fax
| Phone: | 7349365738 |
| Fax: |
Provider Mailing Location
3621 SOUTH STATE STREET
700 KMS PLACE
ANN ARBOR
MI
48108
Provider Mailing Phone/Fax
| Phone: | 7349362047 |
| Fax: |