Individual
DR. CANDILEE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 REGENCY COURT, 100, TOLEDO, OH 43623
(419) 841-6600
(419) 841-6677
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 473-3561
(419) 841-6600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-05-5279
OH
208600000X
Surgery Physician
35055279B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223850
ANTHEM
—
01
—
00634
PARAMOUNT
—
01
—
020053389
RAIL ROAD MEDICARE
OH
05
—
0723766
—
OH
01
—
104389718
MICHIGAN MEDICAID
MI
01
—
1701108
UNITED HEALTH CARE
—
01
—
3190551003
CIGNA
—
01
—
4095581
AETNA
—
01
—
602046
FAMILY HEALTH PLAN
—
01
—
OC00981
NATIONWIDE
—
Enumeration date
05/23/2005
Last updated
02/09/2012
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