Healthcare Provider Details

I. General information

NPI: 1801847280
Provider Name (Legal Business Name): STEVEN F BUTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE PEDIATRIC ANESTHESIOLOGY
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

9000 W WISCONSIN AVE PEDIATRIC ANESTHESIOLOGY
MILWAUKEE WI
53226-4874
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-3560
  • Fax: 414-266-6092
Mailing address:
  • Phone: 414-266-3560
  • Fax: 414-266-6092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number39872
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: