Individual
DR. COLLEEN LOUISE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2828 CHICAGO AVE. SO., SUITE 400, MINNEAPOLIS, MN 55407-1320
(612) 863-5390
(612) 863-2697
Mailing address
2943 JONQUIL TRL N, LAKE ELMO, MN 55042-8478
(651) 207-6003
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
50783
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011716
—
VT
Enumeration date
08/05/2006
Last updated
08/30/2010
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