Individual
ROBERT A BUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
N84 W16889 MENOMONEE AVENUE, MENOMONEE FALLS, WI 53051
(262) 251-7500
(262) 251-7128
Mailing address
3003 W GOOD HOPE ROAD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
846
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42955300
—
WI
01
—
P00462686
RR MEDICARE
WI
Enumeration date
07/13/2006
Last updated
11/29/2021
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