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Contact Information

DAVIETTA BUTTY
4855 S MOORLAND RD
NEW BERLIN, WI53151
 Phone: 262-432-7599
 Fax: 262-432-7694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DAVIETTA BUTTY · (Female)

NPI Number 1669861548
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2015
Last updated 07/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 66509-20
  • WI Medicaid 1669861548
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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