Individual
DR. CASEY MICHELLE IPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55264
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022631
KAISER COMMERCIAL NUMBER
CO
05
—
87325560
—
CO
Enumeration date
04/12/2009
Last updated
03/25/2024
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