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Individual
CASEY PATRICK HERTZENBERG
Active
Individual
CASEY PATRICK HERTZENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-07038
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-36350
KS
Other
Enumeration date
06/12/2008
Last updated
06/14/2022
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