Individual provider · NPI-1

Michael Butler, M.D.

Family Medicine · Bremerton, WA

NPI number1194775510
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1194775510
Entity type
Individual (NPI-1)
Name
Michael Butler
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 10, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00017240WAYes
207QG0300X Family Medicine, Geriatric MedicineMD00017240WA

Practice location

2601 Cherry Ave
Ste 213
Bremerton, WA 98310-4203

Phone 360-479-6041 · Fax 360-405-0768

Mailing address

2601 Cherry Ave
Ste 213
Bremerton, WA 98310-4203

Phone 360-479-6041 · Fax 360-405-0768

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