DANIEL BUTLER

FORT WAYNE, IN
NPI1144090507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004290A)
Enumeration Date2024-01-08
Last Update Date2026-08-31
Business Address
DANIEL BUTLER
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-425-6780
Mailing Address
DANIEL BUTLER
1928 STEUP AVE
FORT WAYNE, IN 46808-2252
Phone number: 810-689-8594
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