Individual
NORMAN THEODORE BUETOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 W COLORADO ST, GLENDALE, CA 91204-3638
(818) 638-8522
Mailing address
38465 OAKTREE LOOP, MURRIETA, CA 92562-3009
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G40726
CA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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