Individual
HARIKA NALLURI-BUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(612) 625-7992
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-7992
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
65743
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2016
Last updated
06/26/2024
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