Individual
MR. BRIAN ANTHONY BUTKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 E SUPERIOR ST, SUITE L201, DULUTH, MN 55802-2207
(218) 249-3057
Mailing address
1001 E SUPERIOR ST, SUITE L201, DULUTH, MN 55802-2207
(218) 249-3057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9987
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819684200
—
MN
Enumeration date
05/12/2006
Last updated
02/18/2021
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