NPI 1003220799

Jessica M Butanis, DO

Practitioner Internal Medicine Physician Alexandria, MN

Practice location

Address: 610 30th Ave W, Alexandria, MN 56308-3426
Phone: (320) 763-5123
Fax: (320) 763-7883
Mailing address: 610 30th Avenue West, Alexandria, MN 56308

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 61656 (MN)

Other Internal Medicine providers in Minnesota →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence R10068 (IA)

Registry record

NPI: 1003220799
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2014
Record last updated: 23 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.