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Organization

BUTCHBAKER FAMILY PRACTICE PLLC

Active
Parent organization
BUTCHBAKER FAMILY PRACTICE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BUTCHBAKER FAMILY PRACTICE PLLC
Authorized official
DR. ANGELA KAYE BUTCHBAKER D.O. (OWNER PHYSICAN)
(517) 278-6411
Entity
Organization

Contact information

Practice address
235 E CHICAGO ST STE 2, COLDWATER, MI 49036-1789
(517) 278-6411
(517) 278-4331
Mailing address
235 E CHICAGO ST STE 2, COLDWATER, MI 49036-1789
(517) 278-6411
(517) 278-4331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013510
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4198064-11
MI
Enumeration date
09/27/2006
Last updated
01/07/2010
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