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Casey Wolff
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1376302703

Casey Wolff is a Student in an Organized Health Care Education/Training Program based in Midlothian, IN. Casey Wolff practices in Mishawaka, IN. The NPI Number for Casey Wolff is 1376302703 and holds a License No. 049.265142 (Indiana).

The current practice location address for Casey Wolff is 611 E Douglas Rd Ste 412, Mishawaka, IN and can be reached out via phone at 574-335-6550.

Location: 611 E Douglas Rd Ste 412, Mishawaka, IN, 60445-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376302703
Provider Name
Casey Wolff
Credential
Provider Entity Type
Individual
Gender
Female
Address
611 E Douglas Rd Ste 412, Mishawaka, IN, 60445-1605
Phone Number
574-335-6550
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 412
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6550
Fax Number
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 412
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6550
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
049.265142 (Illinois)
Definition
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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