IndividualActive
Alexis Casillas, MD
NPI 1396595112 · Student in an Organized Health Care Education/Training Program · Perrysburg, OH
Provider details
- NPI number
- 1396595112
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 57.256009 (OH)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 57.256009 (OH)
Student, Health Care
Practice location
7045 Lighthouse Way
Perrysburg, OH 43551-7000
Phone: (419) 873-6836
Approximate (ZIP-level) locationGet directions
Mailing address
2213 Cherry St
Toledo, OH 43608-2603
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.