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Individual

EDWARD T CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45939
MN
207RN0300X
Nephrology Physician
Primary
45939
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
991435800
MN
01
P00042801
MEDICARE RAILROAD
MN
Enumeration date
02/06/2006
Last updated
01/31/2014
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