Individual
DOROTHY J. BUTTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
485 W MARKET ST, TIFFIN, OH 44883-2611
(419) 251-2673
Mailing address
2200 JEFFERSON AVENUE, 4TH FLOOR, TOLEDO, OH 43604-1181
(419) 251-2673
(419) 251-0916
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-03689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105564
—
OH
Enumeration date
01/23/2007
Last updated
07/08/2007
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