Individual
CARL D BUTCHER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1700
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7251
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-120945
OH
2085R0202X
Diagnostic Radiology Physician
4301090313
MI
2085R0202X
Diagnostic Radiology Physician
D74002
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083795
—
OH
05
—
055695500
—
MD
Enumeration date
07/10/2007
Last updated
12/30/2015
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