IndividualActive
Russell Butkiewicz, M.D.
NPI 1891730693 · Family Medicine Physician · Waupaca, WI
Provider details
- NPI number
- 1891730693
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29613 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 Riverside Dr
Waupaca, WI 54981-1941
Phone: (715) 256-3000
Fax: (715) 256-3079
Street-level locationGet directions
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.