Individual
DR. MICHAEL RAY BUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 BOSWELL ST, LEXINGTON, TN 38351-1566
(731) 968-2006
(731) 968-9970
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-1400
(615) 221-1484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45522
MN
207Q00000X
Family Medicine Physician
Primary
50780
TN
207Q00000X
Family Medicine Physician
AB8216841
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00022399
MEDICARE RR
MN
01
—
P00799496
RAILROAD MEDICARE-CB9013
MO
Enumeration date
05/12/2006
Last updated
08/31/2016
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