| Butler Medical Holdings Pllc | |
|
468 Cadieux Rd Grosse Pointe MI 48230-1507 | |
| (313) 855-5745 | |
| (313) 355-1567 |
| Full Name | Butler Medical Holdings Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
| Authorized Official Name and Position | Barika M Butler-quarles (MD / OWNER) |
| Authorized Official Contact | 3138555745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Medical Holdings Pllc 18530 Mack Ave Ste 116 Grosse Pointe MI 48236-3254 Ph: (313) 855-5745 | Butler Medical Holdings Pllc 468 Cadieux Rd Grosse Pointe MI 48230-1507 Ph: (313) 855-5745 |
| NPI Number | 1346625084 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 03/21/2016 |
| Medicare PECOS PAC ID | 2163720814 |
|---|---|
| Medicare Enrollment ID | O20160412002561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346625084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 4301088119 (Michigan) | Primary |
| Provider Name | Barika Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033249255 PECOS PAC ID: 3971773375 Enrollment ID: I20110822000450 |
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