NPI

Cassidy Elaine Walrath

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.C.
Type
Individual
Enumeration date
2012-06-21
Last updated
2022-03-14

Specialties

Licenses

License IL
038.012237
License MI
2301010900

Location

Practice location
3876 22 Mile Rd
City
Homer MI
Postal code
49245-9647
Phone
(872) 230-1678

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Homer, MI. 19 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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