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Individual

ELDON E CASSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-3451
Mailing address
PO BOX 74, HASTINGS, MI 49058-0074
(800) 678-1861

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301042020
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1605130
MI
Enumeration date
10/12/2005
Last updated
06/18/2010
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