Individual
CASEY MICHAEL TREUTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3260
(504) 842-3193
Mailing address
5345 SUFFOLK DR, JACKSON, MS 39211-4505
(504) 273-3476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T-3928
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477042497
—
LA
Enumeration date
05/04/2018
Last updated
07/08/2019
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