Individual provider · NPI-1

Casey Ashby, d.o.

Otolaryngology, Facial Plastic Surgery · Farmington Hills, MI

NPI number1003055971
StatusActive
Last updated in NPPESFeb 16, 2009

Details

NPI
1003055971
Entity type
Individual (NPI-1)
Name
Casey Ashby
Credential
d.o.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 16, 2009
Last updated
Feb 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YS0123X Otolaryngology, Facial Plastic Surgery5315032060MIYes

Practice location

28080 Grand River Ave
Farmington Hills, MI 48336-5966

Phone 248-471-8000

Mailing address

650 Shasta Pl
Ferndale, MI 48220-2333

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