Organization
BUTLAK ANESTHESIA SOLUTIONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J BUTLAK CRNA (PRESIDENT)
(952) 442-9770
Entity
Organization
Contact information
Practice address
1720 DAVIE AVE, STATESVILLE, NC 28677
(888) 209-0305
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
07/16/2019
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