Organization
DAVID W. BUTSCH MD PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. BUTSCH M.D. (PRESIDENT)
(802) 229-4434
Entity
Organization
Contact information
Practice address
3270 AIRPORT ROAD BERLIN, BARRE, VT 05641
(802) 229-4434
(802) 229-0470
Mailing address
3270 AIRPORT RD, BARRE, VT 05641-8631
(802) 229-4434
(802) 229-0470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042-0004566
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005339
—
VT
Enumeration date
02/19/2008
Last updated
04/15/2013
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