Jesse Van Butler, PA-C Valid NPI

Individual provider · Surgical Physician Assistant · Decorah, IA

NPI

1376557769

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

10116 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-28

Last updated

2011-03-08