Individual
JOHN FREDERIC BUTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503
(616) 242-0357
(616) 493-9610
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 942-5552
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301035987
MI
2084N0400X
Neurology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301035987
BCBS
MI
01
—
JB035987
BCBS, PRIORITY HEALTH
MI
Enumeration date
05/05/2006
Last updated
07/08/2007
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