Individual
RYAN BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4597
(920) 926-5020
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67903-21
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
67903-21
WI
Other
Enumeration date
03/22/2016
Last updated
09/10/2025
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