Individual
MRS. ANGELA MARIE BUTTJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
3812 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 236-3444
(319) 236-0257
Mailing address
3812 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 236-3444
(319) 236-0257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001419
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39189614910
JOHN DEERE HEALTHCARE
IA
Enumeration date
04/17/2006
Last updated
01/20/2011
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