Individual
CASEY BOBINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E NORTH ST STE A, WAUKESHA, WI 53188-3720
(262) 549-6123
Mailing address
412 E NORTH ST STE A, WAUKESHA, WI 53188-3720
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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