Organization
EVANSVILLE INTEGRATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE BUTSCH (OWNER)
(812) 401-4222
Entity
Organization
Contact information
Practice address
3700 BELLEMEADE AVE, STE 105, EVANSVILLE, IN 47714-0102
(812) 401-4222
(812) 401-5722
Mailing address
3700 BELLEMEADE AVE, STE 105, EVANSVILLE, IN 47714-0102
(812) 401-4222
(812) 401-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780600353
NPI (PHYSICIAN)
IN
Enumeration date
02/21/2013
Last updated
02/26/2013
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