Individual
KAREN W BEUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5471 W WATERFORD LN, APPLETON, WI 54913-8510
(920) 731-7445
Mailing address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
(920) 731-7445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42348
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34200700
—
WI
Enumeration date
09/07/2005
Last updated
05/01/2019
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