Samuel Lerush Butler, MD
Individual provider Active NPI Pulmonary Disease Physician · Verona, WI
NPI 1194377747 · NPPES record last updated Jul 14, 2019
Key facts
- NPI
- 1194377747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 45576-20 (WI)
- Practice address
- 2314 Dahlk Cir
Verona, WI 53593-8846 - Phone
- (608) 358-1114
- NPI assigned
- Jul 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45576-20 | WI | MD | Pulmonary Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 45576-20 | WI | Yes |
Addresses
Primary practice location
2314 Dahlk Cir
Verona, WI 53593-8846
Mailing address
2314 Dahlk Cir
Verona, WI 53593-8846
Phone (608) 848-3294
Other names
- Dr. Samuel Lerush Butler
Other providers in Verona, WI
- Arden Daniel Bubula
- Beste Zohre Bucher
- Whitney Theresa Buesser
- Marcelle Bulla
- Andrea Burgett
- Bradley Byce
- Karim Cabral
- Adria Cannon
- Capitol Physical Therapy LLC
- Capitol Physical Therapy Specialists LLC
All providers in Verona, WI · Pulmonary Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.