IndividualActive
Jesse Butler, PA-C
NPI 1376557769 · Surgical Physician Assistant · Decorah, IA
Provider details
- NPI number
- 1376557769
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 10116 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
901 Montgomery St
Decorah, IA 52101-2325
Phone: (563) 382-2911
Fax: (563) 387-1512
Approximate (ZIP-level) locationGet directions
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2011-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.