RUSSELL F BUTKIEWICZ MD

THEDACARE INCORPORATED

Dr RUSSELL F BUTKIEWICZ MD is a male medical professional, specializing in Family Medicine. He graduated in 1987 from University Of Wisconsin Medical School.

Contact

THEDACARE INCORPORATED

160 S CHET KRAUSE DR
IOLA
WI
549459114

Tel: 7154452228

RUSSELL F BUTKIEWICZ MD Information

Npi 1891730693
Pac Id 5991718017
Professional Enrollment Id I20060713000051
Last Name BUTKIEWICZ
First Name RUSSELL
Middle Name F
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 1987
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THEDACARE INCORPORATED
Group Practice Pac Id 1759294887
Number Of Group Practice Members 478
Line 1 Street Address 160 S CHET KRAUSE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IOLA
State WI
Zip Code 549459114
Phone Number 7154452228
Hospital Affiliation Ccn 1 521334
Hospital Affiliation Lbn 1 RIVERSIDE MEDICAL CENTER
Hospital Affiliation Ccn 2 520045
Hospital Affiliation Lbn 2 THEDA CLARK MEDICAL CENTER
Hospital Affiliation Ccn 3 520160
Hospital Affiliation Lbn 3 THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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