Individual
MS. DENNIS J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212-3515
(414) 267-6533
(414) 267-3892
Mailing address
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE, MILWAUKEE, WI 53212-3515
(414) 267-6533
(414) 267-3892
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000139X
HUMANA
—
05
—
1801841531
—
WI
Enumeration date
05/23/2006
Last updated
02/11/2013
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