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Individual

CHARLES T CASSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
(563) 322-0971
(563) 324-0615
Mailing address
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722-7564
(563) 322-0971
(563) 324-0615

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22728
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0038505
IA
01
041067
HEALTH ALLIANCE
01
1602919
FIRST HEALTH
01
18577
MIDLANDS CHOICE
01
19797
IA HEALTH SOLUTIONS
01
200029105
RR MEDICARE
01
57862
WELLMARK
IA
01
58095
WELLMARK
IA
01
8121085
BCBS
IL
01
IA0143
JOHN DEERE FAMILY
IA
01
T80726
JOHN DEERE FAMILY
IA
Enumeration date
01/06/2006
Last updated
03/18/2011
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