Individual
CASEY LEE DEHOEDT
Active
Individual
CASEY LEE DEHOEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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