Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY DESHAMBO, PAC
ActiveCASEY DESHAMBO, PAC is a Medical Physician Assistant healthcare provider located in ESCANABA, Michigan. NPI 1386138568 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ESCANABA, MI
Registration Details
- NPI Number
- 1386138568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2018 (8.1272624175417 yrs)
- Last Updated
- Aug 1, 2025
- License
-
5601009487 (MI)
Practice Information
- Address
-
3401 LUDINGTON STESCANABA, MI, 498291300Browse MI providers · Browse ZIP 49829
- Phone
- 9067863311
- Fax
- 9067893615
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.