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Individual
EDWARD T CASEY
Active
Individual
EDWARD T CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45939
MN
207RN0300X
Nephrology Physician
Primary
45939
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
991435800
—
MN
01
—
P00042801
MEDICARE RAILROAD
MN
Enumeration date
02/06/2006
Last updated
01/31/2014
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