Individual
CASEY LEE DEHOEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
77483
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306473525
—
WI
Enumeration date
03/26/2020
Last updated
06/30/2025
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