Individual
JOHN C BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3930 NORTHWOODS DR, MAIL STOP 32800A, ARDEN HILLS, MN 55112-6974
(651) 490-6700
(651) 490-6730
Mailing address
8100 34TH AVE S, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286582300
—
MN
Enumeration date
03/17/2006
Last updated
10/05/2011
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