person
Mr. Jesse Van Butler, PA-C
Surgical Physician Assistant in Decorah, Iowa
NPI 1376557769

Jesse Van Butler is a Surgical Physician Assistant based in Decorah, IA and is specialized in Surgical. Jesse Van Butler practices in Decorah, IA and has the professional credentials of PA-C. The NPI Number for Jesse Van Butler is 1376557769 and holds a License No. 10116 (Iowa).

The current practice location address for Jesse Van Butler is 901 Montgomery St, Decorah, IA and can be reached out via phone at 563-382-2911 and via fax at 563-387-1512.

Location: 901 Montgomery St, Decorah, IA, 52101-2325
person
Provider Profile Details
NPI Number
1376557769
Provider Name
Jesse Van Butler
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
901 Montgomery St, Decorah, IA, 52101-2325
Phone Number
563-382-2911
Fax Number
563-387-1512
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001606 01 IA LICENSE
10116 01 MN LICENSE
0446294 05 IA
institution
Provider Business Practice Location Address Details
Address
901 Montgomery St
City
State
Zip
52101-2325
Phone Number
563-382-2911
Fax Number
563-387-1512
person
Provider Business Mailing Address Details
Address
901 Montgomery St
City
State
Zip
52101-2325
Phone Number
563-382-2911
Fax Number
563-387-1512
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10116 (Minnesota)
Definition
Definition to come...
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