Individual
CASEY LAINE PESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4044
(701) 740-7283
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R35941
ND
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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