Provider Demographics
NPI:1760036776
Name:BUTZEN, MICHAEL RAYMOND (DNP)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RAYMOND
Last Name:BUTZEN
Suffix:
Gender:M
Credentials:DNP
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Mailing Address - Street 1:1930 BRANNAN RD
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-4310
Mailing Address - Country:US
Mailing Address - Phone:678-284-4040
Mailing Address - Fax:678-808-1039
Practice Address - Street 1:1223 FRIENDSHIP RD.
Practice Address - Street 2:BLDG. 400, SUITE 100
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517
Practice Address - Country:US
Practice Address - Phone:678-205-8387
Practice Address - Fax:678-808-1039
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2025-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN250536363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care