| Doctor Name: | DR. ANDREW M BUTCHART |
| NPI Number: | 1245318229 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 50122-021 |
| Business Practice Address: | 34700 Valley Rd Oconomowoc, WI - 530664500 |
| Business Phone Number: | 2626461391 |
| Business Fax Number: | |
| Mailing Address: | 34700 Valley Rd, OCONOMOWOC |
| State: | WI |
| Postal Code: | 530664500 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 12/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 50122-021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |