Individual
DR. MELISSA MEI JUNG BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6661 CLYO RD, CENTERVILLE, OH 45459-2767
(937) 425-4000
(937) 425-4002
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35 083217
OH
208M00000X
Hospitalist Physician
35083217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2482442
—
OH
01
—
311446216
TAX ID #
OH
Enumeration date
11/04/2005
Last updated
11/24/2020
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