Individual
MICHAEL J CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1106
(541) 274-6733
(541) 274-2006
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6564
(541) 274-6247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD11549
OR
207XS0106X
Orthopaedic Hand Surgery Physician
MD11549
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040592
—
OR
01
—
052966000
BLUE CROSS
OR
01
—
0848590001
NORIDIAN DME
OR
01
—
200018994
RAILROAD MEDICARE
OR
01
—
93114697897601
TRICARE
OR
01
—
XPY113700
MEDI-CAL
CA
Enumeration date
07/26/2006
Last updated
06/07/2023
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