Individual
JONATHAN AARON DUCASTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3537 W FRONT ST STE A, TRAVERSE CITY, MI 49684-7942
(231) 935-0338
(231) 258-7555
Mailing address
3537 W FRONT ST STE A, TRAVERSE CITY, MI 49684-7942
(231) 935-0338
(231) 258-7555
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301112263
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073956694
—
MI
Enumeration date
04/12/2013
Last updated
08/05/2025
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