Individual
SAMANTHA BUTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
621 RIDGELY AVE STE 201, ANNAPOLIS, MD 21401-1083
(410) 224-4887
Mailing address
621 RIDGELY AVE STE 201, ANNAPOLIS, MD 21401-1083
(410) 224-4887
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
D0093369
MD
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT, HEALTH CARE
—
Enumeration date
06/19/2017
Last updated
04/24/2025
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