Individual
DR. GARY J BUTCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE # MS 6011, CLEVELAND, OH 44106-1716
(216) 402-2353
(877) 991-4775
Mailing address
412 GREENBRIAR DR, AVON LAKE, OH 44012-2185
(216) 402-2353
(977) 991-4775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.073196
OH
2080P0202X
Pediatric Cardiology Physician
Primary
35.073196
OH
2080P0202X
Pediatric Cardiology Physician
P7402
TX
Other
Enumeration date
09/26/2005
Last updated
05/02/2022
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