Provider Demographics
NPI:1013702562
Name:BUTTERY, JOSEPH GAGE
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:GAGE
Last Name:BUTTERY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 DON SIMON DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-7000
Mailing Address - Country:US
Mailing Address - Phone:608-901-8028
Mailing Address - Fax:
Practice Address - Street 1:3169 DEMING WAY
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-1435
Practice Address - Country:US
Practice Address - Phone:262-228-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical