Individual
DR. ANNABELLE ROSE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11725 N ILLINOIS ST, CARMEL, IN 46032-3009
(317) 688-8647
(317) 688-2921
Mailing address
250 N SHADELAND AVE, SUITE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(317) 688-2647
(317) 688-5150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01075092A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201293280
—
IN
Enumeration date
04/03/2010
Last updated
09/15/2015
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