Individual
NICOLE MARIE CASSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 S UNION AVE STE B3003, TACOMA, WA 98405-1803
(253) 572-2842
Mailing address
11447 GRIFFIN PL NW, GIG HARBOR, WA 98332-9534
(607) 725-3663
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25916
NE
207N00000X
Dermatology Physician
Primary
60869820
WA
2083A0100X
Aerospace Medicine Physician
0101244008
VA
208D00000X
General Practice Physician
21809
MS
208D00000X
General Practice Physician
25916
NE
Other
Enumeration date
06/13/2007
Last updated
05/04/2021
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