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Contact Information

ANDREW M BUTCHART, DO
34700 VALLEY RD
OCONOMOWOC, WI53066-4500
 Phone: 262-646-1391
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDREW M BUTCHART · (Male)

NPI Number 1245318229
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/01/2006
Last updated 12/11/2012 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 50122-021
  • WI License # 50122-21
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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