Individual
PHILLIP ROSS BUTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
(608) 663-0763
Mailing address
5900 MONONA DR STE 100, MONONA, WI 53716-3556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3974-57
WI
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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