Individual
MICHAEL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 CHERRY AVE, STE 213, BREMERTON, WA 98310-4203
(360) 479-6041
(360) 405-0768
Mailing address
2601 CHERRY AVE, STE 213, BREMERTON, WA 98310-4203
(360) 479-6041
(360) 405-0768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00017240
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD00017240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006439
RAILROAD MEDICARE
—
01
—
4324384
AETNA
—
01
—
75424
LABOR & INDUSTRIES
WA
05
—
8178105
—
WA
01
—
8915346
CRIME VICTIMS COMP
WA
01
—
BU8932
REGENCE BLUE SHIELD
—
Enumeration date
05/10/2006
Last updated
03/07/2023
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