Individual provider · Type 1 NPI
Casey Deshambo, PAC
Medical Physician Assistant · Escanaba, MI
NPI number
1386138568
Active
Practice location
3401 Ludington St
Escanaba, MI 49829-1300
Fax (906) 789-3615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601009487 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1386138568
Casey Deshambo, PAC's National Provider Identifier is 1386138568, issued on Jun 20, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Escanaba, MI. The record was last updated on Aug 1, 2025.