Individual
GERALD W BUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 SAINT ANNE ST, RAPID CITY, SD 57701-4670
(605) 348-4100
(605) 348-0662
Mailing address
710 SAINT ANNE ST, RAPID CITY, SD 57701-4670
(605) 348-4100
(605) 348-0662
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2297
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000440
BLUE CROSS BLUE SHIELD
SD
01
—
2297
DAKOTACARE
SD
01
—
23142
SIOUX VALLEY HEALTH PLAN
SD
01
—
310276
BLUE CROSS BLUE SHIELD
WY
05
—
7500082
—
SD
01
—
S440
MEDICARE SD
SD
Enumeration date
08/30/2006
Last updated
01/21/2008
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