Individual
JOHN A CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
2222 N MAYFAIR RD STE 200, WAUWATOSA, WI 53226-2263
(414) 299-3872
(414) 455-1929
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2110
WI
Other
Enumeration date
01/03/2020
Last updated
01/04/2020
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