Individual
JEFFREY C CASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 BELL AVE, WESTBROOK, MN 56183-9669
(507) 274-6121
(507) 274-5630
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25612
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116500300
—
MN
Enumeration date
08/01/2006
Last updated
03/19/2010
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