Individual
MARK ANTHONY N DEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-6474
Mailing address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
(989) 352-6474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301101217
MI
208M00000X
Hospitalist Physician
Primary
9740416-1205
UT
Other
Enumeration date
08/20/2009
Last updated
09/28/2018
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