Provider Information for 1295156123
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CASEY LEVRICH
Sex: Female
NPI: 1295156123
Last Updated: 2025-04-01
Certification Date: 2025-04-01
Certification Date: 2025-04-01
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1295156123 | ||||||||||||
| Enumeration Date | 2013-12-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 5508 80TH AVE CHIPPEWA FALLS, WI 54729-5885 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 5508 80TH AVE CHIPPEWA FALLS, WI 54729-5885 United States Phone: 715-558-4715 | Fax: | ||||||||||||
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