Individual
KEVIN A BUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
(608) 847-9875
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
(608) 847-9875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42570021
WI
207R00000X
Internal Medicine Physician
Primary
45270
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110246323
RR - MEDICARE
WI
01
—
123465501001
BCBS
WI
05
—
43503500
—
WI
Enumeration date
09/30/2005
Last updated
02/21/2011
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