Individual
TODD M BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402-5057
(319) 362-0200
(319) 399-5186
Mailing address
855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402-5057
(319) 362-0200
(319) 399-5186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31218
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138263
—
IA
01
—
110141369
RR MEDICARE
IA
05
—
1710964994
—
IA
Enumeration date
12/28/2005
Last updated
05/22/2012
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