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NPI Code Detail

MEDICARE: LAURA FISHER BUTTERBAUGH PA-C

MEDICARE:   LAURA  FISHER BUTTERBAUGH  PA-C
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
1363A00000XPhysician Assistant12979MN
2363A00000XPhysician Assistant7343-23WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396307450
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA FISHER BUTTERBAUGH PA-C
Provider Business Mailing Address
First Line : 700 S PARK ST STE A
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-260-2900
Fax Number : 608-260-2977
Provider Business Practice Location Address
First Line : 700 S PARK ST STE A
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-260-2900
Fax Number : 608-260-2977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2019
Last Update Date : 04/13/2026

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Directions to “ LAURA FISHER BUTTERBAUGH PA-C” Practice Location

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