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Individual

ANDREW MICHAEL CASANOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D-PT

Contact information

Practice address
901 PYLE DR, KINGSFORD, MI 49802-4452
(906) 774-3779
(906) 774-6712
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017255
MI

Other

Enumeration date
09/14/2016
Last updated
10/27/2016
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