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Individual

MICHAEL J CASEY

Active
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Individual

MICHAEL J CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD11549
OR
207XS0106X
Orthopaedic Hand Surgery Physician
MD11549
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040592
—
OR
01
—
052966000
BLUE CROSS
OR
01
—
0848590001
NORIDIAN DME
OR
01
—
200018994
RAILROAD MEDICARE
OR
01
—
93114697897601
TRICARE
OR
01
—
XPY113700
MEDI-CAL
CA
Enumeration date
07/26/2006
Last updated
06/07/2023
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