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Individual

MR. CASEY W PIELEMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
822 S AUTO MALL RD, BLOOMINGTON, IN 47401-5430
(812) 668-1781
(812) 339-6875
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008753A
IN
225100000X
Physical Therapist
5501014501
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000378650
ANTHEM
IN
Enumeration date
09/27/2006
Last updated
06/14/2023
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