Individual provider · Type 1 NPI

Gregory D. Buttolph, PA

Medical Physician Assistant · La Crosse, WI

NPI number 1902887078 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X946 (WI)
Medical Physician Assistant Primary 363AM0700X946 (WI)
Medical Physician Assistant 363AM0700X001789 (IA)

Medical Physician Assistant: Definition to come...

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About NPI 1902887078

Gregory D. Buttolph, PA's National Provider Identifier is 1902887078, issued on Nov 7, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Feb 9, 2009.