Individual
DR. BUTCH MAYNER HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 COON RAPIDS BLVD NW, SUITE LL21, COON RAPIDS, MN 55433-2569
(763) 236-9050
Mailing address
3960 COON RAPIDS BLVD NW, SUITE LL21, COON RAPIDS, MN 55433-2569
(763) 236-9050
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
41929
MN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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