Individual
ALEXIS MARIE CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7045 LIGHTHOUSE WAY, PERRYSBURG, OH 43551-7000
(419) 873-6836
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-3232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.256009
OH
Other
Enumeration date
03/25/2024
Last updated
09/05/2024
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