Individual
MONIQUE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
97 MONROE ST, DETROIT, MI 48226-2855
(313) 227-0065
(313) 227-0079
Mailing address
2422 CEDAR KNOLL DR, TROY, MI 48083-6424
(313) 903-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301088336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H228210
BCBSM/BCN
MI
Enumeration date
09/03/2008
Last updated
11/08/2010
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