Individual
CASEY DESHAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 786-3311
(906) 789-3615
Mailing address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 786-3311
(906) 789-3615
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009487
MI
Other
Enumeration date
06/20/2018
Last updated
08/01/2025
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