Individual
MR. CASEY THOMAS WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720-1931
(231) 547-4024
Mailing address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 947-0673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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