Individual
DR. JOHN MICHAEL BUTLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GME WAKE FOREST BAPTIST MEDICAL CTR, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-5222
Mailing address
GME WAKE FOREST BAPTIST MEDICAL CTR, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017-01925
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
09/20/2017
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