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Jessica M Butanis, DO

Internal Medicine in Alexandria, MN. Individual provider (NPI-1).

NPI number1003220799
StatusActive
Last updated in NPPESJan 23, 2018

Details

NPI
1003220799
Entity type
Individual (NPI-1)
Name
Jessica M Butanis
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2014
Last updated
Jan 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine61656MNYes
207R00000X Internal MedicineR10068IA

Other names

  • Jessica Peterson (Former Name)

Practice location

610 30th Ave W
Alexandria, MN 56308-3426

Phone 320-763-5123 · Fax 320-763-7883

Mailing address

610 30th Avenue West
Alexandria, MN 56308

Phone 320-763-5123 · Fax 320-763-7883

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Other Internal Medicine Physician providers in Alexandria, MN

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