Individual
NICHOLAS JAMES BUTTERMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 E DOUGLAS RD, MISHAWAKA, IN 46545-1464
(574) 335-6500
Mailing address
611 E DOUGLAS RD, MISHAWAKA, IN 46545-1464
(574) 335-6500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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