Individual
DR. ANDREW M BUTCHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-1391
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
50122-21
WI
208D00000X
General Practice Physician
50122-021
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2006
Last updated
12/11/2012
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