DANIEL BUTLER

FORT WAYNE, IN
NPI1144090507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2024-01-08
Last Update Date2024-01-08
Business Address
DANIEL BUTLER
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-435-7001
Mailing Address
DANIEL BUTLER
1928 STEUP AVE
FORT WAYNE, IN 46808-2252
Phone number: 810-689-8594