Organization
DB MD WCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A BUTLER M.D. (OWNER)
(513) 843-7632
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005-2584
(513) 843-7632
(513) 843-7945
Mailing address
3868 MCMANN RD UNIT A, CINCINNATI, OH 45245-2306
(513) 843-7632
(513) 843-7945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35066726
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147591
—
OH
Enumeration date
10/14/2015
Last updated
02/09/2016
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