MEDICARE: WENDY CASALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	02791	OH

General Provider Information

NPI Number	:	1164768198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY CASALE

Provider Business Mailing Address
First Line	:	1409 CHATHAM AVE NE
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-1709
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 N MAIN ST STE A
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-1977
Country	:	US
Telephone Number	:	330-284-0798
Fax Number	:	330-494-0835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	12/19/2012

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Directions to “ WENDY CASALE ” Practice Location

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