Individual provider · Type 1 NPI

Casey Thomas Michelic

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1205569670 Active

Practice location

480 N Sherman Ave Apt 204
Madison, WI 53704-4463

Call (920) 421-4214 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205569670

Casey Thomas Michelic's National Provider Identifier is 1205569670, issued on Jul 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Jul 5, 2022.