Individual
DR. CASEY LEE LIVERINGHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4752 PRAIRIE POND XING S, FARGO, ND 58104-5404
(612) 839-7461
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20248
ND
Other
Enumeration date
03/25/2019
Last updated
07/09/2024
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