Individual
DR. JOHN BUTLER DITCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
57662 GREY FOX GLN, WASHINGTON, MI 48094-3587
(586) 786-7319
Mailing address
57662 GREY FOX GLN, WASHINGTON, MI 48094-3587
(586) 786-7319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101012503
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3391239
—
MI
Enumeration date
10/11/2006
Last updated
04/09/2012
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