Individual
ELISSA KATHLEEN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
319 15TH AVE SE, MINNEAPOLIS, MN 55455-0118
(800) 756-2363
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
77646
MN
Other
Enumeration date
03/31/2015
Last updated
08/09/2024
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