Individual
DR. IMDAD HUSSAIN BUTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2575 SPRING ARBOR RD, SUITE 200, JACKSON, MI 49203
(517) 784-0020
(517) 787-8329
Mailing address
2575 SPRING ARBOR RD, SUITE 200, JACKSON, MI 49203
(517) 784-0020
(517) 787-8329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IB040769
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0387749
BCBS
MI
Enumeration date
05/11/2006
Last updated
07/08/2007
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