Casey Thomas Michelic
Casey Thomas Michelic is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
480 N Sherman Ave Apt 204Madison, WI 53704-4463
Phone: (920) 421-4214
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1205569670 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 5, 2022 |
| Last updated in NPPES | July 5, 2022 |
| Certification date | July 5, 2022 |
| Mailing address | 480 N Sherman Ave Apt 204, Madison, WI 53704-4463 |
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