Individual
DR. MICHAEL JULES CASTINE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8595 PICARDY AVE, SUITE 400, BATON ROUGE, LA 70809-3670
(225) 767-0822
(225) 769-5424
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
12998R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1554111
—
LA
Enumeration date
01/03/2006
Last updated
01/03/2023
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