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NPI Code Detail

MEDICARE: ROBIN M BUTRICK MD

MEDICARE: ROBIN M BUTRICK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician41322WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10852480001OTHERWIDMERC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235130998
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN M BUTRICK MD
Provider Business Mailing Address
First Line : 301 E 2ND ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-1900
Country : US
Telephone Number : 608-647-6161
Fax Number : 608-647-3178
Provider Business Practice Location Address
First Line : 301 E 2ND ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-1900
Country : US
Telephone Number : 608-647-6161
Fax Number : 608-647-3178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 01/15/2008

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Directions to “ ROBIN M BUTRICK MD” Practice Location

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