Individual
DR. LOIS MICHELLE BUTLER-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, CWS
Contact information
Practice address
37400 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48036-3648
(586) 286-6389
(586) 226-0403
Mailing address
37400 GARFIELD RD, SUITE 110, CLINTON TWP, MI 48036-3648
(586) 286-6389
(586) 226-0403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301051182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106355961
BCBSM
MI
05
—
4784286
—
MI
Enumeration date
01/18/2006
Last updated
03/16/2010
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