Basic Information
| Provider Information | |||||||||
| NPI: | 1114964822 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUTMAN | ||||||||
| FirstName: | LOWELL | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4800 FASHION SQUARE BLVD | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486042612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9895837517 | ||||||||
| FaxNumber: | 9895837536 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | FRANKENMUTH | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487341152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9896521320 | ||||||||
| FaxNumber: | 9896521327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 4301031775 | MI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.