Individual
MR. CASEY JAMES WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CRNA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
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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