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

Gregory D Buttolph, PA

Individual provider Physician Assistant · NPI 1902887078

Gregory D Buttolph, PA is a Physician Assistant in LA Crosse, Wisconsin. Licensed in Iowa and Wisconsin. Registered with an NPI since 2005.

Licensed in
IA, WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 946 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 946 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001789 (IA)

Record details

NPI number1902887078
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESFebruary 9, 2009
Mailing address1836 South Ave, La Crosse, WI 54601-5429

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