Individual
MICHAEL KEVIN BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 255-5657
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 255-5657
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34140
MN
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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