Individual
DR. DAVID W BUTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 CAMPUS DRIVE, SUITE 1, SCARBOROUGH, ME 04074
(207) 885-9905
(207) 396-5600
Mailing address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
(207) 396-5600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD16563
ME
207RI0011X
Interventional Cardiology Physician
Primary
MD16563
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023146
ANTHEM
ME
05
—
30205930
—
NH
05
—
415570099
—
ME
Enumeration date
06/21/2006
Last updated
01/21/2025
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