Individual
CASEY TERRENCE WALDVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2727 PLAZA DR, WAUSAU, WI 54401-4192
(715) 847-3262
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
19390230
WI
363L00000X
Nurse Practitioner
Primary
12060-33
WI
Other
Enumeration date
06/03/2022
Last updated
10/19/2023
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