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NPI Code Detail

MEDICARE: MICHAEL CASALE

MEDICARE: MICHAEL 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
1101YM0800XMental Health CounselorCC05391MN

General Provider Information

NPI Number : 1902560212
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CASALE
Provider Business Mailing Address
First Line : 1875 NORTHWESTERN AVE S
Second Line :
City : STILLWATER
State : MN
Zip : 55082-7534
Country : US
Telephone Number : 651-789-4019
Fax Number :
Provider Business Practice Location Address
First Line : 1875 NORTHWESTERN AVE S
Second Line :
City : STILLWATER
State : MN
Zip : 55082-7534
Country : US
Telephone Number : 651-789-4019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2021
Last Update Date : 04/06/2026

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Directions to “ MICHAEL CASALE ” Practice Location

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