Individual
MR. CASEY JAMES WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
163201-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180112
—
WI
Enumeration date
06/17/2014
Last updated
03/07/2025
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