Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael John Butcher, DO

Individual provider Urology Physician · NPI 1467692616

Dr. Michael John Butcher, DO is an Urology in Saint Louis Park, Minnesota. Qualified in 2009, 17 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Minnesota.

Years since qualifying
17
Licensed in
IL, MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3900 Park Nicollet Blvd
Saint Louis Park, MN 55416-2503
Phone: (952) 993-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 59342 (MN)
Urology Physician Taxonomy 208800000X · Licence 036-134467 (IL)

Record details

NPI number1467692616
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 1, 2009
Last updated in NPPESMarch 9, 2016
Mailing address8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services