Most Relevant Information
Provider Data
| NPI Number: | 1003220799 |
| Provider Name: | JESSICA M BUTANIS DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 61656 |
Most Important Dates
| Enumeration Date: | 06/20/2014 |
| Last Updated: | 01/23/2018 |
Provider Practice Location
610 30TH AVE W
ALEXANDRIA
MN
563083426
Practice Location Phone/Fax
| Phone: | 3207635123 |
| Fax: | 3207637883 |
Provider Mailing Location
610 30TH AVENUE WEST
ALEXANDRIA
MN
56308
Provider Mailing Phone/Fax
| Phone: | 3207635123 |
| Fax: | 3207637883 |
Suggested EMR
Internist EMR