Butcher, Michael John

Butcher, Michael John is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , Saint Louis Park MN 55416-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Butcher, Michael John can be contacted via phone (952) 993-1000.

Contact Information

Primary practice address
3900 Park Nicollet Blvd Saint Louis Park MN 55416-2503
Phone: (952) 993-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 59342 Minnesota
Allopathic & Osteopathic Physicians / Urology 208800000X 036-134467 Illinois

Profile Details

NPI number 1467692616
LBN Legal business name Butcher, Michael John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2009
Last updated Mar 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467692616 NPPES
Illinois MEDICAID 036134467

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