Individual
MAGGIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072
(504) 349-1297
Mailing address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 349-1297
(504) 349-1146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
308540
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
08/15/2018
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